Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.08 / $65.11 / $106.64	Facility		$36.08	$65.11	$106.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.09 / $29.12 / $32.47	Professional		$22.09	$29.12	$32.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.19 / $60.71 / $75.89	Professional		$40.19	$60.71	$75.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $33.47 / $60.58 / $102.30	Professional		$33.47	$60.58	$102.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $33.47 / $46.06 / $92.40	Facility		$33.47	$46.06	$92.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $33.47 / $40.19 / $132.87	Professional		$33.47	$40.19	$132.87
Midlands Facility/Professional Facility Modifier Low / Median / High Price $43.03 / $61.36 / $92.34	Facility		$43.03	$61.36	$92.34
Midlands Facility/Professional Professional Modifier Low / Median / High Price $40.19 / $60.45 / $87.36	Professional		$40.19	$60.45	$87.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $32.57 / $33.47 / $59.74	Professional		$32.57	$33.47	$59.74
United Facility/Professional Professional Modifier Low / Median / High Price $29.45 / $33.47 / $72.95	Professional		$29.45	$33.47	$72.95
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $33.47 / $33.47 / $33.47	Professional		$33.47	$33.47	$33.47