Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.15 / $50.51 / $103.48	Facility		$34.15	$50.51	$103.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.55 / $29.48 / $98.00	Professional		$18.55	$29.48	$98.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.99 / $48.62 / $62.29	Professional		$30.99	$48.62	$62.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $30.34 / $62.67	Professional		$19.48	$30.34	$62.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $24.88 / $48.00 / $69.31	Facility		$24.88	$48.00	$69.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $23.96 / $46.33 / $250.96	Professional		$23.96	$46.33	$250.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $40.46 / $49.19 / $62.29	Facility		$40.46	$49.19	$62.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $33.93 / $45.49 / $57.54	Professional		$33.93	$45.49	$57.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $19.72 / $34.68 / $38.71	Professional		$19.72	$34.68	$38.71
United Facility/Professional Professional Modifier Low / Median / High Price $22.74 / $34.18 / $61.86	Professional		$22.74	$34.18	$61.86
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $32.71 / $41.40 / $48.70	Professional		$32.71	$41.40	$48.70