Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $87.10	Facility		$79.43	$79.43	$87.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $33.88 / $52.48	Professional		$10.00	$33.88	$52.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $51.29 / $77.62	Professional		$23.99	$51.29	$77.62
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $42.66 / $61.66	Professional		$26.30	$42.66	$61.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $33.11 / $107.15	Facility		$16.60	$33.11	$107.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $45.71 / $467.74	Professional		$15.85	$45.71	$467.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $54.95	Professional		$51.29	$51.29	$54.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $45.71 / $89.13	Professional		$40.74	$45.71	$89.13
United Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $42.66 / $91.20	Professional		$31.62	$42.66	$91.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Professional		$42.66	$42.66	$42.66