Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.10 / $26.10 / $48.86	Facility		$26.10	$26.10	$48.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.54 / $22.54 / $26.10	Professional		$22.54	$22.54	$26.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.90 / $24.45 / $30.85	Professional		$21.90	$24.45	$30.85
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $22.54 / $39.51 / $59.98	Professional		$22.54	$39.51	$59.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $22.21 / $26.10 / $37.76	Facility		$22.21	$26.10	$37.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $22.21 / $24.72 / $95.19	Professional		$22.21	$24.72	$95.19
Midlands Facility/Professional Facility Modifier Low / Median / High Price $25.81 / $32.97 / $43.12	Facility		$25.81	$32.97	$43.12
Midlands Facility/Professional Professional Modifier Low / Median / High Price $25.40 / $28.03 / $33.31	Professional		$25.40	$28.03	$33.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $22.55 / $44.67 / $47.08	Professional		$22.55	$44.67	$47.08
United Facility/Professional Professional Modifier Low / Median / High Price $22.54 / $23.67 / $26.82	Professional		$22.54	$23.67	$26.82
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $24.30 / $24.30 / $24.30	Facility		$24.30	$24.30	$24.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $19.20 / $24.30 / $24.30	Professional		$19.20	$24.30	$24.30