Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $66.07	Facility		$60.26	$60.26	$66.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $25.70 / $30.20	Professional		$14.13	$25.70	$30.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $38.02 / $52.48	Professional		$16.98	$38.02	$52.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $42.66 / $69.18	Professional		$26.92	$42.66	$69.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $38.02 / $151.36	Facility		$20.42	$38.02	$151.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $38.02 / $158.49	Professional		$18.62	$38.02	$158.49
Midlands Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $45.71 / $52.48	Professional		$38.02	$45.71	$52.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $34.67 / $67.61	Professional		$30.90	$34.67	$67.61
United Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $83.18	Professional		$19.05	$19.05	$83.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $31.62	Professional		$31.62	$31.62	$31.62