Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $67.77	Facility		$38.02	$38.02	$67.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.78 / $30.78 / $38.02	Professional		$30.78	$30.78	$38.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.78 / $35.67 / $47.16	Professional		$30.78	$35.67	$47.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $23.19 / $46.87 / $99.88	Professional		$23.19	$46.87	$99.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $31.08 / $38.02 / $54.82	Facility		$31.08	$38.02	$54.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $31.08 / $34.60 / $134.18	Professional		$31.08	$34.60	$134.18
Midlands Facility/Professional Facility Modifier Low / Median / High Price $37.85 / $47.16 / $67.12	Facility		$37.85	$47.16	$67.12
Midlands Facility/Professional Professional Modifier Low / Median / High Price $37.85 / $45.59 / $54.82	Professional		$37.85	$45.59	$54.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $30.91 / $61.10 / $64.30	Professional		$30.91	$61.10	$64.30
United Facility/Professional Professional Modifier Low / Median / High Price $30.78 / $31.70 / $36.63	Professional		$30.78	$31.70	$36.63
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $34.01 / $34.01 / $34.01	Facility		$34.01	$34.01	$34.01
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $26.87 / $34.01 / $34.01	Professional		$26.87	$34.01	$34.01