Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.95 / $32.79 / $58.92	Facility		$14.95	$32.79	$58.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.15 / $10.68 / $37.49	Professional		$9.15	$10.68	$37.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.11 / $25.46 / $31.82	Professional		$16.11	$25.46	$31.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.87 / $24.27 / $36.57	Professional		$13.87	$24.27	$36.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.87 / $23.24 / $55.83	Facility		$13.87	$23.24	$55.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $14.29 / $37.69	Professional		$8.32	$14.29	$37.69
Midlands Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $28.26 / $43.48	Facility		$16.98	$28.26	$43.48
Midlands Facility/Professional Professional Modifier Low / Median / High Price $16.66 / $28.26 / $38.07	Professional		$16.66	$28.26	$38.07
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $30.36 / $221.50 / $382.59	Facility		$30.36	$221.50	$382.59
United Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $9.25 / $31.90	Professional		$8.32	$9.25	$31.90
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $13.87 / $13.87	Professional		$10.96	$13.87	$13.87