Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.09 / $62.09 / $67.68	Facility		$62.09	$62.09	$67.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.03 / $25.71 / $26.79	Professional		$23.03	$25.71	$26.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.13 / $42.12 / $74.04	Professional		$28.13	$42.12	$74.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $32.22 / $39.78 / $54.62	Professional		$32.22	$39.78	$54.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $22.85 / $43.28 / $128.63	Facility		$22.85	$43.28	$128.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $24.59 / $40.03 / $247.34	Professional		$24.59	$40.03	$247.34
Midlands Facility/Professional Facility Modifier Low / Median / High Price $29.86 / $38.72 / $58.40	Facility		$29.86	$38.72	$58.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $34.17 / $49.13 / $64.97	Professional		$34.17	$49.13	$64.97
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $22.90 / $40.88 / $45.05	Professional		$22.90	$40.88	$45.05
United Facility/Professional Professional Modifier Low / Median / High Price $24.59 / $25.33 / $64.73	Professional		$24.59	$25.33	$64.73
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $48.10 / $56.60 / $56.60	Professional		$48.10	$56.60	$56.60