Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.28 / $48.28 / $52.63	Facility		$48.28	$48.28	$52.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.83 / $20.83 / $20.83	Professional		$20.83	$20.83	$20.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.22 / $32.46 / $45.56	Professional		$14.22	$32.46	$45.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $27.05 / $47.34 / $50.96	Professional		$27.05	$47.34	$50.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $37.86 / $128.49	Facility		$25.70	$37.86	$128.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $16.23 / $27.86 / $142.29	Professional		$16.23	$27.86	$142.29
Midlands Facility/Professional Facility Modifier Low / Median / High Price $24.16 / $36.52 / $48.00	Facility		$24.16	$36.52	$48.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $27.06 / $37.86 / $70.33	Professional		$27.06	$37.86	$70.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $26.32 / $27.05 / $48.28	Professional		$26.32	$27.05	$48.28
United Facility/Professional Professional Modifier Low / Median / High Price $16.23 / $16.23 / $58.97	Professional		$16.23	$16.23	$58.97
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $27.05 / $27.05 / $27.05	Professional		$27.05	$27.05	$27.05