Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $33.11	Facility		$30.20	$30.20	$33.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $26.30 / $91.20	Professional		$20.89	$26.30	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $44.67 / $67.61	Professional		$23.44	$44.67	$67.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $34.67 / $87.10	Professional		$21.38	$34.67	$87.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $32.36 / $53.70	Facility		$22.39	$32.36	$53.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $42.66 / $346.74	Professional		$25.12	$42.66	$346.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $48.98 / $60.26	Professional		$34.67	$48.98	$60.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $44.67 / $70.79	Professional		$36.31	$44.67	$70.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $24.55 / $57.54	Professional		$19.05	$24.55	$57.54
United Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $41.69	Facility		$21.88	$21.88	$41.69
United Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $37.15 / $64.57	Professional		$23.99	$37.15	$64.57
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $33.11 / $38.90	Professional		$28.18	$33.11	$38.90