Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.60 / $41.18 / $114.43	Facility		$32.60	$41.18	$114.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $33.04 / $80.80	Professional		$22.39	$33.04	$80.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.04 / $50.12 / $66.66	Professional		$34.04	$50.12	$66.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $23.31 / $29.76 / $71.05	Professional		$23.31	$29.76	$71.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $23.47 / $44.04 / $61.25	Facility		$23.47	$44.04	$61.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.97 / $51.15 / $151.44	Professional		$26.97	$51.15	$151.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $43.45 / $53.20 / $61.25	Facility		$43.45	$53.20	$61.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $43.45 / $53.20 / $64.65	Professional		$43.45	$53.20	$64.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $21.79 / $37.82 / $42.99	Professional		$21.79	$37.82	$42.99
United Facility/Professional Professional Modifier Low / Median / High Price $25.98 / $39.03 / $70.72	Professional		$25.98	$39.03	$70.72
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $35.86 / $45.40 / $53.40	Professional		$35.86	$45.40	$53.40