Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $33.11 / $35.48	Facility		$33.11	$33.11	$35.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $14.13 / $18.20	Professional		$10.00	$14.13	$18.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $20.42 / $27.54	Professional		$15.85	$20.42	$27.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $25.70 / $35.48	Professional		$15.14	$25.70	$35.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $23.44 / $42.66	Facility		$15.14	$23.44	$42.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $24.55 / $91.20	Professional		$15.14	$24.55	$91.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $20.42 / $20.89	Professional		$15.85	$20.42	$20.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $19.95 / $39.81	Professional		$18.20	$19.95	$39.81
United Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.49 / $41.69	Professional		$15.14	$15.49	$41.69
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $18.20	Professional		$18.20	$18.20	$18.20