Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.99 / $56.99 / $62.13	Facility		$56.99	$56.99	$62.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.59 / $24.59 / $27.79	Professional		$24.59	$24.59	$27.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.80 / $34.17 / $51.72	Professional		$16.80	$34.17	$51.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $27.15 / $40.08 / $58.00	Professional		$27.15	$40.08	$58.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.64 / $38.11 / $151.72	Facility		$20.64	$38.11	$151.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $18.61 / $32.90 / $159.69	Professional		$18.61	$32.90	$159.69
Midlands Facility/Professional Facility Modifier Low / Median / High Price $26.05 / $38.33 / $53.72	Facility		$26.05	$38.33	$53.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $43.12 / $83.04	Professional		$25.00	$43.12	$83.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $31.08 / $31.94 / $57.01	Professional		$31.08	$31.94	$57.01
United Facility/Professional Professional Modifier Low / Median / High Price $19.16 / $19.16 / $68.51	Professional		$19.16	$19.16	$68.51
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $31.94 / $31.94 / $31.94	Professional		$31.94	$31.94	$31.94