Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.68 / $40.90 / $147.13	Facility		$40.68	$40.90	$147.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.53 / $21.96 / $69.37	Professional		$21.53	$21.96	$69.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.52 / $24.39 / $33.75	Professional		$21.52	$24.39	$33.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $21.53 / $55.00 / $445.77	Professional		$21.53	$55.00	$445.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.90 / $34.22 / $56.19	Facility		$20.90	$34.22	$56.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $20.90 / $24.87 / $971.75	Professional		$20.90	$24.87	$971.75
Midlands Facility/Professional Facility Modifier Low / Median / High Price $25.87 / $31.37 / $37.00	Facility		$25.87	$31.37	$37.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $25.87 / $32.10 / $69.75	Professional		$25.87	$32.10	$69.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $23.02 / $38.42 / $60.30	Professional		$23.02	$38.42	$60.30
United Facility/Professional Professional Modifier Low / Median / High Price $21.53 / $22.18 / $78.20	Professional		$21.53	$22.18	$78.20
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $22.87 / $22.87 / $22.87	Facility		$22.87	$22.87	$22.87
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $18.07 / $22.87 / $22.87	Professional		$18.07	$22.87	$22.87