Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $56.23 / $81.28	Facility		$21.88	$56.23	$81.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $22.91 / $28.84	Professional		$19.95	$22.91	$28.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $70.79	Professional		$57.54	$57.54	$70.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $39.81 / $151.36	Professional		$25.12	$39.81	$151.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $35.48 / $75.86	Facility		$29.51	$35.48	$75.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $33.11 / $131.83	Professional		$17.78	$33.11	$131.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $35.48	Professional		$35.48	$35.48	$35.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $32.36 / $63.10	Professional		$28.84	$32.36	$63.10
United Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $29.51 / $67.61	Facility		$29.51	$29.51	$67.61
United Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $18.20 / $74.13	Professional		$17.78	$18.20	$74.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $29.51	Professional		$29.51	$29.51	$29.51