Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.90 / $25.90 / $41.84	Facility		$25.90	$25.90	$41.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.16 / $36.11 / $118.00	Professional		$22.16	$36.11	$118.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.24 / $48.15 / $87.46	Professional		$27.24	$48.15	$87.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $22.66 / $50.40 / $87.75	Professional		$22.66	$50.40	$87.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $24.54 / $43.87 / $68.09	Facility		$24.54	$43.87	$68.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $39.27 / $63.74 / $243.64	Professional		$39.27	$63.74	$243.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $31.70 / $52.08 / $77.80	Facility		$31.70	$52.08	$77.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $31.70 / $52.08 / $77.80	Professional		$31.70	$52.08	$77.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $38.52 / $42.63 / $69.33	Professional		$38.52	$42.63	$69.33
United Facility/Professional Professional Modifier Low / Median / High Price $38.40 / $51.28 / $86.84	Professional		$38.40	$51.28	$86.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $34.10 / $41.70 / $65.80	Professional		$34.10	$41.70	$65.80