Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $196.45 / $196.45 / $196.45	Facility		$196.45	$196.45	$196.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.19 / $20.92 / $26.73	Professional		$15.19	$20.92	$26.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.73 / $42.57 / $53.21	Professional		$19.73	$42.57	$53.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $19.34 / $27.26 / $60.27	Professional		$19.34	$27.26	$60.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.14 / $28.66 / $186.72	Facility		$20.14	$28.66	$186.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $27.87 / $120.34	Professional		$19.00	$27.87	$120.34
Midlands Facility/Professional Facility Modifier Low / Median / High Price $26.06 / $36.28 / $47.01	Facility		$26.06	$36.28	$47.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $26.06 / $36.56 / $50.44	Professional		$26.06	$36.56	$50.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.60 / $27.60 / $51.90	Professional		$27.60	$27.60	$51.90
United Facility/Professional Professional Modifier Low / Median / High Price $18.88 / $25.89 / $41.75	Professional		$18.88	$25.89	$41.75
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $21.49 / $27.20 / $32.00	Professional		$21.49	$27.20	$32.00