Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $36.31 / $89.13	Facility		$25.12	$36.31	$89.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $41.69 / $125.89	Professional		$17.78	$41.69	$125.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Facility		$39.81	$39.81	$39.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $45.71 / $57.54	Professional		$29.51	$45.71	$57.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $30.90 / $128.82	Professional		$17.78	$30.90	$128.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $45.71 / $93.33	Facility		$19.50	$45.71	$93.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $47.86 / $436.52	Professional		$28.18	$47.86	$436.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $47.86 / $60.26	Professional		$41.69	$47.86	$60.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $54.95 / $54.95	Professional		$48.98	$54.95	$54.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $31.62 / $40.74	Professional		$17.38	$31.62	$40.74
United Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $38.90 / $74.13	Professional		$26.92	$38.90	$74.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $36.31 / $42.66	Professional		$28.18	$36.31	$42.66