Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $57.54	Facility		$52.48	$52.48	$57.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $21.88 / $33.88	Professional		$10.00	$21.88	$33.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $33.11 / $50.12	Professional		$23.99	$33.11	$50.12
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $28.18 / $41.69	Professional		$25.70	$28.18	$41.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $27.54 / $70.79	Facility		$16.60	$27.54	$70.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $35.48 / $138.04	Professional		$15.85	$35.48	$138.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $35.48	Professional		$33.11	$33.11	$35.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $30.20 / $58.88	Professional		$26.92	$30.20	$58.88
United Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $28.18 / $60.26	Professional		$27.54	$28.18	$60.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $27.54	Professional		$27.54	$27.54	$27.54