Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.88 / $17.88 / $21.69	Facility		$17.88	$17.88	$21.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.13 / $17.88 / $24.69	Professional		$9.13	$17.88	$24.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.96 / $18.96 / $32.79	Facility		$18.96	$18.96	$32.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.96 / $34.50 / $43.13	Professional		$18.96	$34.50	$43.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $25.35 / $29.82 / $45.88	Professional		$25.35	$29.82	$45.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $24.69 / $44.61 / $140.07	Facility		$24.69	$44.61	$140.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.70 / $15.66 / $77.53	Professional		$13.70	$15.66	$77.53
Midlands Facility/Professional Facility Modifier Low / Median / High Price $32.71 / $32.79 / $74.55	Facility		$32.71	$32.79	$74.55
Midlands Facility/Professional Professional Modifier Low / Median / High Price $26.42 / $37.69 / $64.83	Professional		$26.42	$37.69	$64.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $35.79 / $38.79 / $58.70	Professional		$35.79	$38.79	$58.70
United Facility/Professional Professional Modifier Low / Median / High Price $12.64 / $14.87 / $29.75	Professional		$12.64	$14.87	$29.75
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $28.33 / $28.33 / $28.33	Facility		$28.33	$28.33	$28.33
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $22.38 / $28.33 / $28.33	Professional		$22.38	$28.33	$28.33