Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.47 / $37.47 / $51.70	Facility		$35.47	$37.47	$51.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.20 / $25.20 / $68.93	Professional		$25.20	$25.20	$68.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.09 / $27.43 / $36.93	Professional		$25.09	$27.43	$36.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $25.20 / $58.73 / $231.66	Professional		$25.20	$58.73	$231.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $23.50 / $37.47 / $55.38	Facility		$23.50	$37.47	$55.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $23.50 / $26.16 / $565.38	Professional		$23.50	$26.16	$565.38
Midlands Facility/Professional Facility Modifier Low / Median / High Price $29.54 / $35.40 / $40.89	Facility		$29.54	$35.40	$40.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $29.54 / $36.68 / $47.65	Professional		$29.54	$36.68	$47.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $25.20 / $44.99 / $59.60	Professional		$25.20	$44.99	$59.60
United Facility/Professional Professional Modifier Low / Median / High Price $25.20 / $26.46 / $29.99	Professional		$25.20	$26.46	$29.99
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $25.71 / $25.71 / $25.71	Facility		$25.71	$25.71	$25.71
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $20.30 / $25.71 / $25.71	Professional		$20.30	$25.71	$25.71