Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.48 / $26.48 / $50.90	Facility		$26.48	$26.48	$50.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.18 / $21.98 / $58.85	Professional		$21.18	$21.98	$58.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.51 / $23.85 / $33.21	Professional		$22.51	$23.85	$33.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $48.52 / $54.21 / $82.06	Professional		$48.52	$54.21	$82.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.18 / $26.48 / $38.59	Facility		$21.18	$26.48	$38.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $22.07 / $24.57 / $100.62	Professional		$22.07	$24.57	$100.62
Midlands Facility/Professional Facility Modifier Low / Median / High Price $28.07 / $35.09 / $46.78	Facility		$28.07	$35.09	$46.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $28.07 / $32.85 / $38.60	Professional		$28.07	$32.85	$38.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $46.32 / $48.63	Professional		$27.40	$46.32	$48.63
United Facility/Professional Professional Modifier Low / Median / High Price $22.07 / $22.73 / $26.26	Professional		$22.07	$22.73	$26.26
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $25.60 / $25.60 / $25.60	Facility		$25.60	$25.60	$25.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $20.22 / $25.60 / $25.60	Professional		$20.22	$25.60	$25.60