Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.52 / $33.04 / $68.20	Facility		$22.52	$33.04	$68.20
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $11.26 / $16.52 / $34.10	Facility	52	$11.26	$16.52	$34.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.07 / $20.16 / $75.00	Professional		$13.07	$20.16	$75.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.83 / $32.76 / $41.08	Professional		$20.83	$32.76	$41.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.14 / $20.62 / $43.15	Professional		$13.14	$20.62	$43.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.45 / $32.00 / $53.86	Facility		$16.45	$32.00	$53.86
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $26.62 / $26.62 / $52.73	Facility	52	$26.62	$26.62	$52.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $16.04 / $31.01 / $250.96	Professional		$16.04	$31.01	$250.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $26.64 / $32.79 / $41.08	Facility		$26.64	$32.79	$41.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $22.73 / $30.34 / $38.54	Professional		$22.73	$30.34	$38.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $23.38 / $26.38	Professional		$13.18	$23.38	$26.38
United Facility/Professional Professional Modifier Low / Median / High Price $15.31 / $22.75 / $41.29	Professional		$15.31	$22.75	$41.29
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $22.12 / $28.00 / $33.00	Professional		$22.12	$28.00	$33.00