Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Facility		$21.88	$21.88	$21.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $16.98 / $28.84	Professional		$10.96	$16.98	$28.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $30.90 / $38.90	Professional		$12.02	$30.90	$38.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $29.51 / $48.98	Professional		$22.91	$29.51	$48.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $28.84 / $48.98	Facility		$18.20	$28.84	$48.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $16.22 / $56.23	Professional		$12.30	$16.22	$56.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $30.90 / $34.67	Professional		$29.51	$30.90	$34.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $44.67 / $58.88	Professional		$22.91	$44.67	$58.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $43.65 / $52.48	Professional		$36.31	$43.65	$52.48
United Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $13.49 / $15.14	Facility		$13.49	$13.49	$15.14
United Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $13.49 / $22.39	Professional		$12.02	$13.49	$22.39
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $23.99 / $23.99	Professional		$23.99	$23.99	$23.99