Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $38.90 / $57.54	Facility		$28.84	$38.90	$57.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.84 / $48.98	Professional		$28.18	$28.84	$48.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $35.48 / $35.48	Facility		$35.48	$35.48	$35.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $29.51 / $36.31	Professional		$28.84	$29.51	$36.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $47.86 / $89.13	Professional		$25.12	$47.86	$89.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $32.36 / $48.98	Facility		$28.84	$32.36	$48.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $31.62 / $125.89	Professional		$28.84	$31.62	$125.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $36.31 / $44.67	Professional		$34.67	$36.31	$44.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $38.90 / $109.65	Professional		$36.31	$38.90	$109.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $51.29 / $63.10	Professional		$30.90	$51.29	$63.10
United Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Facility		$28.84	$28.84	$28.84
United Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $33.88	Professional		$28.84	$28.84	$33.88
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $32.36 / $32.36	Facility		$32.36	$32.36	$32.36
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $32.36 / $32.36	Professional		$25.12	$32.36	$32.36