Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.07 / $37.35 / $219.48	Facility		$20.07	$37.35	$219.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.57 / $10.57 / $88.28	Professional		$10.57	$10.57	$88.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.69 / $24.81 / $31.01	Professional		$15.69	$24.81	$31.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.73 / $24.03 / $150.00	Professional		$13.73	$24.03	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.73 / $23.00 / $72.69	Facility		$13.73	$23.00	$72.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.24 / $13.73 / $35.84	Professional		$8.24	$13.73	$35.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $16.82 / $27.97 / $43.04	Facility		$16.82	$27.97	$43.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $16.48 / $27.97 / $39.33	Professional		$16.48	$27.97	$39.33
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $80.94 / $80.94 / $80.94	Facility		$80.94	$80.94	$80.94
United Facility/Professional Professional Modifier Low / Median / High Price $8.24 / $11.50 / $33.27	Professional		$8.24	$11.50	$33.27
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $10.85 / $13.73 / $13.73	Professional		$10.85	$13.73	$13.73