Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.79 / $46.79 / $51.01	Facility		$46.79	$46.79	$51.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.19 / $22.81 / $25.43	Professional		$20.19	$22.81	$25.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.52 / $40.90 / $60.17	Professional		$21.52	$40.90	$60.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $26.22 / $42.94 / $53.08	Professional		$26.22	$42.94	$53.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $24.00 / $57.12 / $183.42	Facility		$24.00	$57.12	$183.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.22 / $39.33 / $307.52	Professional		$26.22	$39.33	$307.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $21.01 / $33.83 / $57.00	Facility		$21.01	$33.83	$57.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $21.01 / $33.83 / $57.00	Professional		$21.01	$33.83	$57.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $17.00 / $30.34 / $32.58	Professional		$17.00	$30.34	$32.58
United Facility/Professional Professional Modifier Low / Median / High Price $26.22 / $27.01 / $71.55	Professional		$26.22	$27.01	$71.55
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $26.22 / $26.22 / $26.22	Professional		$26.22	$26.22	$26.22