Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.20 / $27.20 / $30.04	Facility		$27.20	$27.20	$30.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.85 / $25.97 / $87.20	Professional		$21.85	$25.97	$87.20
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $26.97 / $94.80 / $97.21	Professional	25	$26.97	$94.80	$97.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.03 / $45.56 / $64.45	Professional		$24.03	$45.56	$64.45
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $23.03 / $36.61 / $76.73	Professional		$23.03	$36.61	$76.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $25.61 / $37.25 / $51.87	Facility		$25.61	$37.25	$51.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $29.37 / $45.58 / $342.78	Professional		$29.37	$45.58	$342.78
Midlands Facility/Professional Facility Modifier Low / Median / High Price $33.24 / $48.89 / $65.56	Facility		$33.24	$48.89	$65.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $33.24 / $48.60 / $56.05	Professional		$33.24	$48.60	$56.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $23.30 / $41.59 / $51.50	Professional		$23.30	$41.59	$51.50
United Facility/Professional Professional Modifier Low / Median / High Price $28.11 / $36.99 / $64.20	Professional		$28.11	$36.99	$64.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $36.00 / $42.40 / $46.90	Professional		$36.00	$42.40	$46.90