Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.80 / $19.80 / $25.14	Facility		$19.80	$19.80	$25.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.79 / $21.00 / $98.70	Professional		$16.79	$21.00	$98.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.42 / $38.90 / $48.26	Professional		$26.42	$38.90	$48.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16.62 / $26.49 / $112.02	Professional		$16.62	$26.49	$112.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.86 / $38.29 / $57.27	Facility		$18.86	$38.29	$57.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $21.22 / $40.40 / $351.00	Professional		$21.22	$40.40	$351.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $33.00 / $41.37 / $46.50	Facility		$33.00	$41.37	$46.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $28.78 / $38.19 / $48.81	Professional		$28.78	$38.19	$48.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $11.00 / $11.00	Professional		$11.00	$11.00	$11.00
United Facility/Professional Professional Modifier Low / Median / High Price $20.30 / $32.28 / $48.83	Professional		$20.30	$32.28	$48.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $27.97 / $35.40 / $41.60	Professional		$27.97	$35.40	$41.60