Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.89 / $30.89 / $33.68	Facility		$30.89	$30.89	$33.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.33 / $15.06 / $16.79	Professional		$13.33	$15.06	$16.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.97 / $20.79 / $24.93	Professional		$7.97	$20.79	$24.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $18.19 / $28.62 / $32.01	Professional		$18.19	$28.62	$32.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.52 / $22.03 / $85.13	Facility		$14.52	$22.03	$85.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.07 / $17.30 / $90.59	Professional		$9.07	$17.30	$90.59
Midlands Facility/Professional Facility Modifier Low / Median / High Price $18.11 / $22.59 / $27.00	Facility		$18.11	$22.59	$27.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $17.60 / $23.70 / $39.54	Professional		$17.60	$23.70	$39.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $17.70 / $18.54 / $33.09	Professional		$17.70	$18.54	$33.09
United Facility/Professional Professional Modifier Low / Median / High Price $9.07 / $9.07 / $38.24	Professional		$9.07	$9.07	$38.24
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $18.19 / $18.19 / $18.19	Professional		$18.19	$18.19	$18.19