Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.60 / $45.60 / $87.65	Facility		$45.60	$45.60	$87.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.47 / $37.85 / $45.60	Professional		$36.47	$37.85	$45.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.76 / $41.03 / $56.56	Professional		$38.76	$41.03	$56.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $99.15 / $110.78 / $167.68	Professional		$99.15	$110.78	$167.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $36.47 / $45.60 / $66.45	Facility		$36.47	$45.60	$66.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $41.80 / $173.28	Professional		$38.00	$41.80	$173.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $36.58 / $56.56 / $78.55	Facility		$36.58	$56.56	$78.55
Midlands Facility/Professional Professional Modifier Low / Median / High Price $36.49 / $48.34 / $60.42	Professional		$36.49	$48.34	$60.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $29.96 / $48.61 / $57.60	Professional		$29.96	$48.61	$57.60
United Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $39.14 / $45.22	Professional		$38.00	$39.14	$45.22
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $44.08 / $44.08 / $44.08	Facility		$44.08	$44.08	$44.08
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $34.82 / $44.08 / $44.08	Professional		$34.82	$44.08	$44.08