Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $34.67	Facility		$34.67	$34.67	$34.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $30.20 / $87.10	Professional		$18.20	$30.20	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $48.98 / $60.26	Professional		$38.90	$48.98	$60.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $64.57 / $83.18	Professional		$35.48	$64.57	$83.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $45.71 / $85.11	Facility		$30.90	$45.71	$85.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $24.55 / $87.10	Professional		$19.05	$24.55	$87.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $47.86 / $54.95	Professional		$45.71	$47.86	$54.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $70.79 / $91.20	Professional		$38.90	$70.79	$91.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $60.26 / $91.20	Professional		$42.66	$60.26	$91.20
United Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $20.89 / $23.44	Facility		$20.89	$20.89	$23.44
United Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $20.89 / $34.67	Professional		$18.20	$20.89	$34.67
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $38.02	Professional		$38.02	$38.02	$38.02