Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.15 / $36.15 / $39.40	Facility		$36.15	$36.15	$39.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.60 / $17.63 / $27.82	Professional		$15.60	$17.63	$27.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.65 / $24.33 / $45.56	Professional		$10.65	$24.33	$45.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $27.35 / $49.54 / $56.10	Professional		$27.35	$49.54	$56.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.25 / $28.76 / $53.32	Facility		$19.25	$28.76	$53.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.16 / $24.81 / $142.29	Professional		$12.16	$24.81	$142.29
Midlands Facility/Professional Facility Modifier Low / Median / High Price $24.31 / $27.35 / $48.00	Facility		$24.31	$27.35	$48.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $24.31 / $32.24 / $52.68	Professional		$24.31	$32.24	$52.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $19.71 / $20.26 / $36.15	Professional		$19.71	$20.26	$36.15
United Facility/Professional Professional Modifier Low / Median / High Price $12.16 / $12.16 / $55.28	Professional		$12.16	$12.16	$55.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $20.26 / $20.26 / $20.26	Professional		$20.26	$20.26	$20.26