Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.36 / $21.36 / $21.36	Facility		$21.36	$21.36	$21.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $25.16 / $143.00	Professional		$16.00	$25.16	$143.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $65.00	Facility		$50.00	$50.00	$65.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.03 / $36.28 / $85.75	Professional		$29.03	$36.28	$85.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $29.65 / $41.69 / $75.05	Professional		$29.65	$41.69	$75.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.79 / $42.98 / $155.94	Facility		$21.79	$42.98	$155.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.66 / $33.57 / $101.35	Professional		$26.66	$33.57	$101.35
Midlands Facility/Professional Facility Modifier Low / Median / High Price $39.25 / $51.27 / $67.92	Facility		$39.25	$51.27	$67.92
Midlands Facility/Professional Professional Modifier Low / Median / High Price $37.38 / $51.27 / $71.31	Professional		$37.38	$51.27	$71.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $31.97 / $43.35 / $61.33	Professional		$31.97	$43.35	$61.33
United Facility/Professional Professional Modifier Low / Median / High Price $25.47 / $30.37 / $54.05	Professional		$25.47	$30.37	$54.05
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $42.90 / $42.90 / $50.50	Professional		$42.90	$42.90	$50.50