Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.14 / $74.79 / $74.79	Facility		$74.14	$74.79	$74.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.54 / $38.54 / $74.79	Professional		$38.54	$38.54	$74.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.03 / $38.03 / $40.85	Facility		$38.03	$38.03	$40.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.54 / $58.29 / $65.08	Professional		$38.54	$58.29	$65.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $32.76 / $38.54 / $69.76	Professional		$32.76	$38.54	$69.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $47.08 / $60.57 / $78.59	Facility		$47.08	$60.57	$78.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $49.12 / $49.12 / $98.24	Professional		$49.12	$49.12	$98.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $25.00 / $58.94 / $67.26	Facility		$25.00	$58.94	$67.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $34.61 / $58.29 / $67.26	Professional		$34.61	$58.29	$67.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $40.60 / $44.40 / $48.90	Professional		$40.60	$44.40	$48.90
United Facility/Professional Professional Modifier Low / Median / High Price $38.54 / $38.54 / $42.39	Professional		$38.54	$38.54	$42.39
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $49.12 / $49.12 / $49.12	Facility		$49.12	$49.12	$49.12
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $38.79 / $49.12 / $49.12	Professional		$38.79	$49.12	$49.12