Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.12 / $41.12 / $44.82	Facility		$41.12	$41.12	$44.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.73 / $20.04 / $22.35	Professional		$17.73	$20.04	$22.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.81 / $27.68 / $45.56	Professional		$24.81	$27.68	$45.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $23.04 / $49.54 / $54.88	Professional		$23.04	$49.54	$54.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $27.32 / $34.56 / $109.44	Facility		$27.32	$34.56	$109.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $23.04 / $41.47 / $166.58	Professional		$23.04	$41.47	$166.58
Midlands Facility/Professional Facility Modifier Low / Median / High Price $24.16 / $41.47 / $51.00	Facility		$24.16	$41.47	$51.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $29.74 / $41.47 / $58.75	Professional		$29.74	$41.47	$58.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $22.42 / $26.96 / $47.00	Professional		$22.42	$26.96	$47.00
United Facility/Professional Professional Modifier Low / Median / High Price $23.04 / $23.73 / $87.67	Professional		$23.04	$23.73	$87.67
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $23.04 / $23.04 / $23.04	Professional		$23.04	$23.04	$23.04