Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.14 / $37.14 / $71.06	Facility		$37.14	$37.14	$71.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.15 / $32.15 / $37.14	Professional		$32.15	$32.15	$37.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.78 / $32.78 / $32.78	Facility		$32.78	$32.78	$32.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.15 / $36.59 / $48.43	Professional		$32.15	$36.59	$48.43
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $23.11 / $47.87 / $102.01	Professional		$23.11	$47.87	$102.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $32.40 / $37.14 / $58.81	Facility		$32.40	$37.14	$58.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $32.40 / $32.40 / $143.25	Professional		$32.40	$32.40	$143.25
Midlands Facility/Professional Facility Modifier Low / Median / High Price $38.85 / $48.68 / $66.23	Facility		$38.85	$48.68	$66.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $38.85 / $48.43 / $49.97	Professional		$38.85	$48.43	$49.97
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $45.50 / $70.90	Professional		$27.40	$45.50	$70.90
United Facility/Professional Professional Modifier Low / Median / High Price $32.15 / $32.15 / $40.83	Professional		$32.15	$32.15	$40.83
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $35.45 / $35.45 / $35.45	Facility		$35.45	$35.45	$35.45
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $28.01 / $35.45 / $35.45	Professional		$28.01	$35.45	$35.45