Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.22 / $27.22 / $27.62	Facility		$27.22	$27.22	$27.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.29 / $18.05 / $22.42	Professional		$14.29	$18.05	$22.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.32 / $23.62 / $41.13	Professional		$18.32	$23.62	$41.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $18.68 / $23.58 / $38.63	Professional		$18.68	$23.58	$38.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.33 / $21.05 / $39.22	Facility		$14.33	$21.05	$39.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $20.02 / $24.30 / $142.72	Professional		$20.02	$24.30	$142.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $27.33 / $27.74 / $43.84	Facility		$27.33	$27.74	$43.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $27.33 / $34.29 / $60.15	Professional		$27.33	$34.29	$60.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $20.75 / $28.85 / $39.45	Professional		$20.75	$28.85	$39.45
United Facility/Professional Professional Modifier Low / Median / High Price $19.98 / $23.55 / $40.15	Professional		$19.98	$23.55	$40.15
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $27.50 / $27.90 / $32.79	Professional		$27.50	$27.90	$32.79