Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.38 / $38.38 / $62.74	Facility		$38.38	$38.38	$62.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.52 / $28.52 / $38.38	Professional		$28.52	$28.52	$38.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.52 / $28.52 / $45.33	Professional		$28.52	$28.52	$45.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $23.41 / $28.52 / $119.08	Professional		$23.41	$28.52	$119.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $28.52 / $32.22 / $55.95	Facility		$28.52	$32.22	$55.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.52 / $31.37 / $145.84	Professional		$28.52	$31.37	$145.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $42.78 / $51.34 / $68.73	Facility		$42.78	$51.34	$68.73
Midlands Facility/Professional Professional Modifier Low / Median / High Price $42.78 / $42.78 / $45.33	Professional		$42.78	$42.78	$45.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $56.61 / $59.58	Professional		$40.00	$56.61	$59.58
United Facility/Professional Professional Modifier Low / Median / High Price $28.52 / $29.09 / $33.94	Professional		$28.52	$29.09	$33.94
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $31.21 / $31.21 / $31.21	Facility		$31.21	$31.21	$31.21
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $24.66 / $31.21 / $31.21	Professional		$24.66	$31.21	$31.21