Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.63 / $36.15 / $55.13	Facility		$29.63	$36.15	$55.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.60 / $19.64 / $49.45	Professional		$15.60	$19.64	$49.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.54 / $24.81 / $45.56	Professional		$23.54	$24.81	$45.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $20.26 / $35.46 / $58.69	Professional		$20.26	$35.46	$58.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $24.02 / $34.54 / $96.72	Facility		$24.02	$34.54	$96.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $20.26 / $36.47 / $166.58	Professional		$20.26	$36.47	$166.58
Midlands Facility/Professional Facility Modifier Low / Median / High Price $26.05 / $36.47 / $51.00	Facility		$26.05	$36.47	$51.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $26.14 / $40.52 / $58.36	Professional		$26.14	$40.52	$58.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $19.71 / $23.70 / $41.33	Professional		$19.71	$23.70	$41.33
United Facility/Professional Professional Modifier Low / Median / High Price $20.26 / $20.87 / $55.58	Professional		$20.26	$20.87	$55.58
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $20.26 / $20.26 / $20.26	Professional		$20.26	$20.26	$20.26