Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.75 / $72.75 / $117.48	Facility		$72.75	$72.75	$117.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.51 / $57.51 / $96.44	Professional		$57.51	$57.51	$96.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $57.51 / $63.75	Professional		$51.00	$57.51	$63.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.31 / $53.64 / $78.58	Professional		$12.31	$53.64	$78.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.69 / $55.00 / $77.06	Facility		$9.69	$55.00	$77.06
Medica Facility/Professional Professional Modifier Low / Median / High Price $53.40 / $53.40 / $309.22	Professional		$53.40	$53.40	$309.22
Midlands Facility/Professional Facility Modifier Low / Median / High Price $7.00 / $60.05 / $76.43	Facility		$7.00	$60.05	$76.43
Midlands Facility/Professional Professional Modifier Low / Median / High Price $12.81 / $60.05 / $76.43	Professional		$12.81	$60.05	$76.43
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $16.70 / $75.09 / $102.81	Professional		$16.70	$75.09	$102.81
United Facility/Professional Professional Modifier Low / Median / High Price $57.51 / $57.51 / $63.26	Professional		$57.51	$57.51	$63.26
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $53.40 / $53.40 / $53.40	Facility		$53.40	$53.40	$53.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $42.19 / $53.40 / $53.40	Professional		$42.19	$53.40	$53.40