Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.89 / $30.89 / $33.68	Facility		$30.89	$30.89	$33.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.33 / $15.06 / $16.79	Professional		$13.33	$15.06	$16.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.61 / $20.65 / $34.17	Professional		$18.61	$20.65	$34.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $31.83 / $47.91	Professional		$16.00	$31.83	$47.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.53 / $28.14 / $97.00	Facility		$20.53	$28.14	$97.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $30.56 / $108.24	Professional		$16.00	$30.56	$108.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $20.65 / $32.74 / $38.00	Facility		$20.65	$32.74	$38.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $22.98 / $32.74 / $43.76	Professional		$22.98	$32.74	$43.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $18.19 / $30.92 / $37.11	Professional		$18.19	$30.92	$37.11
United Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $16.48 / $38.81	Professional		$16.00	$16.48	$38.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $18.19 / $18.19 / $18.19	Professional		$18.19	$18.19	$18.19