Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $52.48	Facility		$40.74	$40.74	$52.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $52.48 / $144.54	Professional		$39.81	$52.48	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.90 / $47.86	Professional		$38.02	$38.90	$47.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $23.99 / $91.20	Professional		$14.45	$23.99	$91.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $47.86 / $67.61	Facility		$40.74	$47.86	$67.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $43.65 / $56.23	Professional		$38.02	$43.65	$56.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $69.18 / $69.18	Professional		$43.65	$69.18	$69.18
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Facility		$69.18	$69.18	$69.18
United Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Facility		$69.18	$69.18	$69.18
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $44.67 / $46.77	Professional		$39.81	$44.67	$46.77
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Facility		$38.90	$38.90	$38.90