Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $64.57 / $93.33	Facility		$25.70	$64.57	$93.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $26.92 / $33.11	Professional		$22.91	$26.92	$33.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $81.28	Professional		$66.07	$66.07	$81.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $45.71 / $151.36	Professional		$28.84	$45.71	$151.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $40.74 / $87.10	Facility		$33.88	$40.74	$87.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $33.88 / $134.90	Professional		$20.42	$33.88	$134.90
Midlands Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Professional		$40.74	$40.74	$40.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $36.31 / $72.44	Professional		$33.88	$36.31	$72.44
United Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $77.62	Facility		$33.88	$33.88	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $85.11	Professional		$20.42	$20.42	$85.11
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Professional		$33.88	$33.88	$33.88