Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.94 / $23.94 / $26.10	Facility		$23.94	$23.94	$26.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.30 / $23.94 / $26.69	Professional		$20.30	$23.94	$26.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.23 / $37.26 / $70.56	Professional		$16.23	$37.26	$70.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16.52 / $34.52 / $49.25	Professional		$16.52	$34.52	$49.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.76 / $37.76 / $103.95	Facility		$21.76	$37.76	$103.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $40.81 / $214.00	Professional		$25.00	$40.81	$214.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $24.61 / $43.84 / $58.53	Facility		$24.61	$43.84	$58.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $31.90 / $44.27 / $59.91	Professional		$31.90	$44.27	$59.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $13.42 / $24.85 / $49.12	Professional		$13.42	$24.85	$49.12
United Facility/Professional Professional Modifier Low / Median / High Price $25.07 / $27.07 / $60.80	Professional		$25.07	$27.07	$60.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $49.40 / $58.10 / $68.30	Professional		$49.40	$58.10	$68.30