Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.01 / $52.35 / $80.75	Facility		$29.01	$52.35	$80.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.76 / $23.41 / $26.10	Professional		$17.76	$23.41	$26.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.32 / $48.96 / $61.20	Professional		$32.32	$48.96	$61.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $26.91 / $47.09 / $66.00	Professional		$26.91	$47.09	$66.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $26.91 / $34.97 / $70.53	Facility		$26.91	$34.97	$70.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.54 / $32.32 / $100.59	Professional		$26.54	$32.32	$100.59
Midlands Facility/Professional Facility Modifier Low / Median / High Price $32.58 / $48.44 / $70.53	Facility		$32.58	$48.44	$70.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $32.32 / $48.44 / $70.23	Professional		$32.32	$48.44	$70.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $26.18 / $26.91 / $48.03	Professional		$26.18	$26.91	$48.03
United Facility/Professional Professional Modifier Low / Median / High Price $26.54 / $26.91 / $82.19	Professional		$26.54	$26.91	$82.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $26.91 / $26.91 / $26.91	Professional		$26.91	$26.91	$26.91