Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.41 / $21.41 / $175.72	Facility		$21.41	$21.41	$175.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.71 / $14.78 / $25.18	Professional		$10.71	$14.78	$25.18
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $1,433.45 / $1,433.45 / $1,433.45	Professional	CQ	$1,433.45	$1,433.45	$1,433.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.14 / $20.14 / $65.00	Facility		$20.14	$20.14	$65.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.22 / $19.32 / $89.33	Professional		$15.22	$19.32	$89.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16.48 / $23.12 / $43.86	Professional		$16.48	$23.12	$43.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.53 / $24.76 / $100.00	Facility		$12.53	$24.76	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.13 / $17.91 / $58.99	Professional		$15.13	$17.91	$58.99
Midlands Facility/Professional Facility Modifier Low / Median / High Price $20.14 / $26.60 / $36.04	Facility		$20.14	$26.60	$36.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $20.91 / $27.00 / $37.47	Professional		$20.91	$27.00	$37.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $17.07 / $23.09 / $32.20	Professional		$17.07	$23.09	$32.20
United Facility/Professional Professional Modifier Low / Median / High Price $14.83 / $17.82 / $34.51	Professional		$14.83	$17.82	$34.51
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $22.50 / $22.50 / $26.50	Professional		$22.50	$22.50	$26.50