Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.46 / $37.46 / $63.14	Facility		$37.46	$37.46	$63.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.29 / $29.29 / $71.79	Professional		$29.29	$29.29	$71.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $35.09 / $35.09	Facility		$35.09	$35.09	$35.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.29 / $32.04 / $41.55	Professional		$29.29	$32.04	$41.55
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $23.70 / $41.68 / $88.82	Professional		$23.70	$41.68	$88.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $28.70 / $36.67 / $49.96	Facility		$28.70	$36.67	$49.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.70 / $31.95 / $124.53	Professional		$28.70	$31.95	$124.53
Midlands Facility/Professional Facility Modifier Low / Median / High Price $34.71 / $43.38 / $57.67	Facility		$34.71	$43.38	$57.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $34.71 / $38.68 / $71.51	Professional		$34.71	$38.68	$71.51
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $29.29 / $58.04 / $61.18	Professional		$29.29	$58.04	$61.18
United Facility/Professional Facility Modifier Low / Median / High Price $29.29 / $29.29 / $29.29	Facility		$29.29	$29.29	$29.29
United Facility/Professional Professional Modifier Low / Median / High Price $29.29 / $30.75 / $35.15	Professional		$29.29	$30.75	$35.15
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $31.40 / $31.40 / $31.40	Facility		$31.40	$31.40	$31.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $24.81 / $31.40 / $31.40	Professional		$24.81	$31.40	$31.40