Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.38 / $81.59 / $81.59	Facility		$39.38	$81.59	$81.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.94 / $26.94 / $81.59	Professional		$26.94	$26.94	$81.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.84 / $16.84 / $18.09	Facility		$16.84	$16.84	$18.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.57 / $27.90 / $39.36	Professional		$22.57	$27.90	$39.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $26.94 / $26.94 / $197.39	Professional		$26.94	$26.94	$197.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $22.85 / $39.36 / $81.59	Facility		$22.85	$39.36	$81.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.09 / $26.09 / $119.05	Professional		$26.09	$26.09	$119.05
Midlands Facility/Professional Facility Modifier Low / Median / High Price $14.00 / $34.52 / $57.97	Facility		$14.00	$34.52	$57.97
Midlands Facility/Professional Professional Modifier Low / Median / High Price $16.82 / $34.86 / $65.08	Professional		$16.82	$34.86	$65.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $22.20 / $24.20 / $26.70	Professional		$22.20	$24.20	$26.70
United Facility/Professional Professional Modifier Low / Median / High Price $26.94 / $26.94 / $29.10	Professional		$26.94	$26.94	$29.10
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $26.09 / $26.09 / $26.09	Facility		$26.09	$26.09	$26.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $20.61 / $26.09 / $26.09	Professional		$20.61	$26.09	$26.09