Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $44.67 / $61.66	Facility		$30.90	$44.67	$61.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.90 / $53.70	Professional		$30.20	$30.90	$53.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $31.62 / $44.67	Professional		$30.90	$31.62	$44.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $269.15 / $446.68	Professional		$23.99	$269.15	$446.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $41.69 / $102.33	Facility		$29.51	$41.69	$102.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $33.11 / $1,380.38	Professional		$29.51	$33.11	$1,380.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $63.10 / $79.43	Professional		$33.11	$63.10	$79.43
Midlands Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $64.57 / $81.28	Professional		$44.67	$64.57	$81.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $54.95 / $83.18	Professional		$33.11	$54.95	$83.18
United Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Facility		$30.90	$30.90	$30.90
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $37.15	Professional		$30.90	$30.90	$37.15
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $26.30 / $26.30	Facility		$26.30	$26.30	$26.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $26.30 / $26.30	Professional		$20.42	$26.30	$26.30