Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.53 / $40.86 / $168.92	Facility		$20.53	$40.86	$168.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.67 / $17.20 / $30.33	Professional		$8.67	$17.20	$30.33
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $4.34 / $8.27 / $12.44	Professional	52	$4.34	$8.27	$12.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.19 / $21.19 / $34.83	Professional		$12.19	$21.19	$34.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $8.33 / $16.12 / $36.57	Professional		$8.33	$16.12	$36.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.81 / $19.30 / $36.04	Facility		$10.81	$19.30	$36.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $18.64 / $34.83 / $108.61	Professional		$18.64	$34.83	$108.61
Midlands Facility/Professional Facility Modifier Low / Median / High Price $13.10 / $24.99 / $41.13	Facility		$13.10	$24.99	$41.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $13.57 / $23.83 / $41.13	Professional		$13.57	$23.83	$41.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.36 / $16.80 / $32.22	Professional		$8.36	$16.80	$32.22
United Facility/Professional Professional Modifier Low / Median / High Price $18.82 / $28.37 / $46.57	Professional		$18.82	$28.37	$46.57
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $10.90 / $13.20 / $25.10	Professional		$10.90	$13.20	$25.10