Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.68 / $39.68 / $43.25	Facility		$39.68	$39.68	$43.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.12 / $19.34 / $21.56	Professional		$17.12	$19.34	$21.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.05 / $36.08 / $60.96	Professional		$17.05	$36.08	$60.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16.85 / $30.01 / $157.69	Professional		$16.85	$30.01	$157.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $22.17 / $55.84 / $179.42	Facility		$22.17	$55.84	$179.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $35.57 / $314.77	Professional		$20.35	$35.57	$314.77
Midlands Facility/Professional Facility Modifier Low / Median / High Price $22.17 / $36.29 / $56.00	Facility		$22.17	$36.29	$56.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $22.17 / $36.08 / $56.00	Professional		$22.17	$36.08	$56.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $17.72 / $31.63 / $34.32	Professional		$17.72	$31.63	$34.32
United Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $22.23 / $59.52	Professional		$20.35	$22.23	$59.52
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $22.23 / $22.23 / $22.23	Professional		$22.23	$22.23	$22.23