Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.26 / $38.70 / $174.17	Facility		$11.26	$38.70	$174.17
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $72.76 / $93.41 / $546.13	Facility	25	$72.76	$93.41	$546.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.72 / $19.86 / $54.49	Professional		$6.72	$19.86	$54.49
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $21.85 / $27.88 / $74.00	Professional	25	$21.85	$27.88	$74.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $23.97 / $53.24	Professional		$10.19	$23.97	$53.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $8.10 / $28.83 / $51.26	Professional		$8.10	$28.83	$51.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.90 / $20.37 / $40.02	Facility		$7.90	$20.37	$40.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $21.67 / $38.22 / $489.00	Professional		$21.67	$38.22	$489.00
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $23.88 / $48.40 / $100.22	Professional	25	$23.88	$48.40	$100.22
Midlands Facility/Professional Facility Modifier Low / Median / High Price $12.62 / $33.96 / $44.73	Facility		$12.62	$33.96	$44.73
Midlands Facility/Professional Professional Modifier Low / Median / High Price $13.76 / $31.00 / $44.73	Professional		$13.76	$31.00	$44.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.16 / $21.31 / $42.22	Professional		$8.16	$21.31	$42.22
United Facility/Professional Professional Modifier Low / Median / High Price $22.29 / $29.31 / $50.41	Professional		$22.29	$29.31	$50.41
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $10.50 / $13.50 / $33.10	Professional		$10.50	$13.50	$33.10