Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.39 / $26.39 / $26.39	Facility		$26.39	$26.39	$26.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.05 / $17.17 / $21.42	Professional		$13.05	$17.17	$21.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.75 / $26.50 / $52.02	Professional		$17.75	$26.50	$52.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $18.09 / $22.54 / $66.64	Professional		$18.09	$22.54	$66.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.89 / $20.17 / $41.74	Facility		$13.89	$20.17	$41.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $19.13 / $26.50 / $138.46	Professional		$19.13	$26.50	$138.46
Midlands Facility/Professional Facility Modifier Low / Median / High Price $26.50 / $33.09 / $46.13	Facility		$26.50	$33.09	$46.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $26.50 / $37.86 / $59.19	Professional		$26.50	$37.86	$59.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $18.55 / $27.58 / $37.81	Professional		$18.55	$27.58	$37.81
United Facility/Professional Professional Modifier Low / Median / High Price $19.10 / $22.54 / $38.38	Professional		$19.10	$22.54	$38.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $26.70 / $26.70 / $31.40	Professional		$26.70	$26.70	$31.40