Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.53 / $56.56 / $75.31	Facility		$23.53	$56.56	$75.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.61 / $27.00 / $65.75	Professional		$20.61	$27.00	$65.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.76 / $22.76 / $28.45	Professional		$22.76	$22.76	$28.45
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.85 / $19.29 / $35.00	Professional		$12.85	$19.29	$35.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.56 / $25.76 / $38.08	Facility		$21.56	$25.76	$38.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $22.35 / $25.26 / $31.61	Professional		$22.35	$25.26	$31.61
Midlands Facility/Professional Facility Modifier Low / Median / High Price $19.03 / $27.49 / $29.13	Facility		$19.03	$27.49	$29.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $22.84 / $27.28 / $39.96	Professional		$22.84	$27.28	$39.96
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $106.50 / $208.52 / $303.52	Facility		$106.50	$208.52	$303.52
United Facility/Professional Professional Modifier Low / Median / High Price $22.35 / $25.26 / $27.03	Professional		$22.35	$25.26	$27.03
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $19.73 / $19.73 / $19.73	Facility		$19.73	$19.73	$19.73
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $19.73 / $19.73 / $19.73	Professional		$19.73	$19.73	$19.73