Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $38.99 / $58.92	Facility		$17.78	$38.99	$58.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.88 / $12.70 / $44.58	Professional		$10.88	$12.70	$44.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $30.03 / $37.54	Professional		$19.00	$30.03	$37.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16.48 / $23.91 / $36.57	Professional		$16.48	$23.91	$36.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.48 / $23.24 / $66.72	Facility		$16.48	$23.24	$66.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.89 / $16.48 / $39.96	Professional		$9.89	$16.48	$39.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $30.23 / $49.80	Facility		$16.98	$30.23	$49.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $19.79 / $30.23 / $43.04	Professional		$19.79	$30.23	$43.04
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $40.01 / $1,364.60 / $2,357.04	Facility		$40.01	$1,364.60	$2,357.04
United Facility/Professional Professional Modifier Low / Median / High Price $9.89 / $11.62 / $62.51	Professional		$9.89	$11.62	$62.51
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $13.03 / $16.48 / $16.48	Professional		$13.03	$16.48	$16.48