Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $52.48 / $91.20	Facility		$32.36	$52.48	$91.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $51.29 / $114.82	Professional		$33.11	$51.29	$114.82
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $46.77 / $112.20 / $154.88	Professional	25	$46.77	$112.20	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $87.10 / $109.65	Professional		$46.77	$87.10	$109.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $74.13 / $147.91	Professional		$45.71	$74.13	$147.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $70.79 / $97.72	Facility		$43.65	$70.79	$97.72
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $21.88 / $21.88 / $21.88	Facility	AS	$21.88	$21.88	$21.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $70.79 / $346.74	Professional		$41.69	$70.79	$346.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $74.13 / $107.15	Professional		$61.66	$74.13	$107.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $97.72	Professional		$79.43	$79.43	$97.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $75.86 / $102.33	Professional		$44.67	$75.86	$102.33
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $50.12 / $87.10	Professional		$40.74	$50.12	$87.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $74.13 / $83.18	Professional		$63.10	$74.13	$83.18