Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $39.81 / $114.82	Facility		$32.36	$39.81	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $39.81 / $102.33	Professional		$22.91	$39.81	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $50.12 / $64.57	Professional		$33.88	$50.12	$64.57
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $33.11 / $70.79	Professional		$23.44	$33.11	$70.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $42.66 / $61.66	Facility		$22.39	$42.66	$61.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $45.71 / $151.36	Professional		$26.30	$45.71	$151.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $57.54 / $63.10	Professional		$43.65	$57.54	$63.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $64.57 / $64.57	Professional		$61.66	$64.57	$64.57
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $40.74 / $52.48	Professional		$22.39	$40.74	$52.48
United Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $38.90 / $70.79	Professional		$25.70	$38.90	$70.79
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $45.71 / $53.70	Professional		$35.48	$45.71	$53.70