Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.47 / $47.95 / $81.73	Facility		$38.47	$47.95	$81.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $19.00 / $320.27	Professional		$19.00	$19.00	$320.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.77 / $22.77 / $22.77	Facility		$22.77	$22.77	$22.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $29.29 / $44.26	Professional		$19.00	$29.29	$44.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $64.64 / $213.18	Professional		$19.00	$64.64	$213.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.99 / $34.28 / $105.97	Facility		$21.99	$34.28	$105.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $21.99 / $24.48 / $126.91	Professional		$21.99	$24.48	$126.91
Midlands Facility/Professional Facility Modifier Low / Median / High Price $30.06 / $42.46 / $90.42	Facility		$30.06	$42.46	$90.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $26.38 / $34.49 / $97.24	Professional		$26.38	$34.49	$97.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.27 / $38.11 / $48.68	Professional		$27.27	$38.11	$48.68
United Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $19.57 / $22.61	Professional		$19.00	$19.57	$22.61
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $21.99 / $21.99 / $21.99	Facility		$21.99	$21.99	$21.99
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $17.37 / $21.99 / $21.99	Professional		$17.37	$21.99	$21.99