Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.88 / $42.88 / $46.74	Facility		$42.88	$42.88	$46.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.50 / $20.91 / $23.31	Professional		$18.50	$20.91	$23.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.94 / $27.67 / $44.06	Professional		$12.94	$27.67	$44.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $24.03 / $26.28 / $42.05	Professional		$24.03	$26.28	$42.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.43 / $27.67 / $114.14	Facility		$16.43	$27.67	$114.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $16.59 / $31.01 / $120.15	Professional		$16.59	$31.01	$120.15
Midlands Facility/Professional Facility Modifier Low / Median / High Price $18.11 / $31.24 / $49.50	Facility		$18.11	$31.24	$49.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $18.11 / $31.24 / $52.66	Professional		$18.11	$31.24	$52.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $23.38 / $28.12 / $49.02	Professional		$23.38	$28.12	$49.02
United Facility/Professional Professional Modifier Low / Median / High Price $24.03 / $24.03 / $48.06	Professional		$24.03	$24.03	$48.06
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $24.03 / $24.03 / $24.03	Professional		$24.03	$24.03	$24.03