Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.89 / $30.89 / $33.68	Facility		$30.89	$30.89	$33.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.33 / $15.06 / $16.79	Professional		$13.33	$15.06	$16.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.97 / $20.79 / $24.27	Professional		$7.97	$20.79	$24.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.93 / $25.83 / $31.83	Professional		$14.93	$25.83	$31.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.48 / $20.66 / $47.29	Facility		$13.48	$20.66	$47.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.07 / $16.64 / $90.59	Professional		$9.07	$16.64	$90.59
Midlands Facility/Professional Facility Modifier Low / Median / High Price $18.11 / $22.59 / $26.17	Facility		$18.11	$22.59	$26.17
Midlands Facility/Professional Professional Modifier Low / Median / High Price $17.57 / $23.00 / $39.54	Professional		$17.57	$23.00	$39.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $17.70 / $18.54 / $33.09	Professional		$17.70	$18.54	$33.09
United Facility/Professional Professional Modifier Low / Median / High Price $9.07 / $9.07 / $38.24	Professional		$9.07	$9.07	$38.24
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $18.19 / $18.19 / $18.19	Professional		$18.19	$18.19	$18.19