Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.49 / $47.28 / $66.50	Facility		$26.49	$47.28	$66.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.39 / $25.70 / $60.06	Professional		$20.39	$25.70	$60.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.93 / $31.81 / $58.38	Professional		$13.93	$31.81	$58.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $35.76 / $50.40 / $69.87	Professional		$35.76	$50.40	$69.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $25.17 / $39.74 / $126.18	Facility		$25.17	$39.74	$126.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.89 / $32.45 / $187.28	Professional		$15.89	$32.45	$187.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $31.79 / $37.53 / $62.00	Facility		$31.79	$37.53	$62.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $31.79 / $42.03 / $68.87	Professional		$31.79	$42.03	$68.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $25.77 / $26.49 / $47.28	Professional		$25.77	$26.49	$47.28
United Facility/Professional Professional Modifier Low / Median / High Price $15.89 / $15.89 / $72.27	Professional		$15.89	$15.89	$72.27
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $26.49 / $26.49 / $26.49	Professional		$26.49	$26.49	$26.49