Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.95 / $45.41 / $126.19	Facility		$35.95	$45.41	$126.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.70 / $38.67 / $88.80	Professional		$24.70	$38.67	$88.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.51 / $55.36 / $73.63	Professional		$37.51	$55.36	$73.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $25.74 / $32.82 / $106.06	Professional		$25.74	$32.82	$106.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $25.89 / $48.64 / $67.25	Facility		$25.89	$48.64	$67.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $29.65 / $56.36 / $166.47	Professional		$29.65	$56.36	$166.47
Midlands Facility/Professional Facility Modifier Low / Median / High Price $47.79 / $58.46 / $67.25	Facility		$47.79	$58.46	$67.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $47.79 / $58.46 / $71.04	Professional		$47.79	$58.46	$71.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $23.80 / $41.77 / $47.29	Professional		$23.80	$41.77	$47.29
United Facility/Professional Professional Modifier Low / Median / High Price $28.51 / $42.80 / $77.48	Professional		$28.51	$42.80	$77.48
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $39.50 / $50.00 / $58.90	Professional		$39.50	$50.00	$58.90