Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.91 / $27.91 / $32.17	Facility		$27.91	$27.91	$32.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.38 / $26.35 / $99.70	Professional		$22.38	$26.35	$99.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.97 / $51.52 / $104.70	Professional		$30.97	$51.52	$104.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $25.59 / $41.76 / $80.28	Professional		$25.59	$41.76	$80.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $22.58 / $37.26 / $55.02	Facility		$22.58	$37.26	$55.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $31.86 / $51.39 / $158.93	Professional		$31.86	$51.39	$158.93
Midlands Facility/Professional Facility Modifier Low / Median / High Price $34.40 / $51.24 / $59.81	Facility		$34.40	$51.24	$59.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $34.40 / $51.24 / $68.30	Professional		$34.40	$51.24	$68.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $23.64 / $42.20 / $54.23	Professional		$23.64	$42.20	$54.23
United Facility/Professional Professional Modifier Low / Median / High Price $30.75 / $43.24 / $70.43	Professional		$30.75	$43.24	$70.43
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $30.60 / $36.00 / $41.70	Professional		$30.60	$36.00	$41.70