Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.19 / $39.88 / $132.68	Facility		$18.19	$39.88	$132.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.13 / $12.99 / $328.24	Professional		$11.13	$12.99	$328.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.41 / $30.68 / $38.35	Professional		$19.41	$30.68	$38.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16.87 / $29.52 / $157.88	Professional		$16.87	$29.52	$157.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.87 / $28.28 / $81.26	Facility		$16.87	$28.28	$81.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.11 / $17.38 / $46.55	Professional		$10.11	$17.38	$46.55
Midlands Facility/Professional Facility Modifier Low / Median / High Price $20.66 / $34.36 / $52.89	Facility		$20.66	$34.36	$52.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $20.26 / $34.36 / $48.32	Professional		$20.26	$34.36	$48.32
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $66.83 / $66.83 / $66.83	Facility		$66.83	$66.83	$66.83
United Facility/Professional Professional Modifier Low / Median / High Price $10.11 / $13.77 / $40.85	Professional		$10.11	$13.77	$40.85
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $13.33 / $16.87 / $16.87	Professional		$13.33	$16.87	$16.87