Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $33.11 / $33.11	Facility		$33.11	$33.11	$33.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $28.18 / $38.90	Professional		$19.05	$28.18	$38.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $46.77 / $57.54	Professional		$39.81	$46.77	$57.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $66.07 / $83.18	Professional		$39.81	$66.07	$83.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $43.65 / $81.28	Facility		$33.11	$43.65	$81.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $29.51 / $85.11	Professional		$20.89	$29.51	$85.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $45.71 / $100.00	Professional		$43.65	$45.71	$100.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $151.36	Professional		$45.71	$45.71	$151.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $79.43	Professional		$64.57	$64.57	$79.43
United Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $27.54 / $79.43	Facility		$20.89	$27.54	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $34.67	Professional		$20.89	$20.89	$34.67
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $35.48	Professional		$35.48	$35.48	$35.48