Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.92 / $57.88 / $117.90	Facility		$38.92	$57.88	$117.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.06 / $33.59 / $133.51	Professional		$23.06	$33.59	$133.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.57 / $54.96 / $65.56	Professional		$35.57	$54.96	$65.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $22.23 / $34.11 / $130.33	Professional		$22.23	$34.11	$130.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $28.49 / $52.06 / $77.67	Facility		$28.49	$52.06	$77.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $27.46 / $53.00 / $384.71	Professional		$27.46	$53.00	$384.71
Midlands Facility/Professional Facility Modifier Low / Median / High Price $46.00 / $56.20 / $63.48	Facility		$46.00	$56.20	$63.48
Midlands Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $52.12 / $63.65	Professional		$38.90	$52.12	$63.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $22.73 / $39.52 / $44.82	Professional		$22.73	$39.52	$44.82
United Facility/Professional Professional Modifier Low / Median / High Price $25.80 / $37.44 / $70.69	Professional		$25.80	$37.44	$70.69
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $37.45 / $47.40 / $55.70	Professional		$37.45	$47.40	$55.70