Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.67 / $26.67 / $28.22	Facility		$26.67	$26.67	$28.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.40 / $20.58 / $34.46	Professional		$15.40	$20.58	$34.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.80 / $24.80 / $41.99	Facility		$24.80	$24.80	$41.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.80 / $44.63 / $55.78	Professional		$24.80	$44.63	$55.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $36.46 / $40.76 / $44.04	Professional		$36.46	$40.76	$44.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $23.98 / $45.07 / $178.59	Facility		$23.98	$45.07	$178.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $16.94 / $19.69 / $52.17	Professional		$16.94	$19.69	$52.17
Midlands Facility/Professional Facility Modifier Low / Median / High Price $41.87 / $41.99 / $52.05	Facility		$41.87	$41.99	$52.05
Midlands Facility/Professional Professional Modifier Low / Median / High Price $34.40 / $49.06 / $80.27	Professional		$34.40	$49.06	$80.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $38.38 / $41.10 / $69.48	Professional		$38.38	$41.10	$69.48
United Facility/Professional Professional Modifier Low / Median / High Price $18.26 / $19.05 / $45.46	Professional		$18.26	$19.05	$45.46
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $36.26 / $36.26 / $36.26	Facility		$36.26	$36.26	$36.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $28.65 / $36.26 / $36.26	Professional		$28.65	$36.26	$36.26