Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.25 / $49.86 / $114.78	Facility		$24.25	$49.86	$114.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.92 / $16.23 / $100.00	Professional		$13.92	$16.23	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.37 / $38.52 / $48.14	Professional		$24.37	$38.52	$48.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $21.09 / $36.90 / $44.20	Professional		$21.09	$36.90	$44.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.09 / $27.42 / $82.04	Facility		$21.09	$27.42	$82.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.65 / $21.09 / $48.51	Professional		$12.65	$21.09	$48.51
Midlands Facility/Professional Facility Modifier Low / Median / High Price $18.98 / $38.67 / $56.03	Facility		$18.98	$38.67	$56.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $23.43 / $37.33 / $55.04	Professional		$23.43	$37.33	$55.04
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $145.44 / $145.44 / $145.44	Facility		$145.44	$145.44	$145.44
United Facility/Professional Professional Modifier Low / Median / High Price $12.65 / $12.99 / $43.28	Professional		$12.65	$12.99	$43.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $16.66 / $21.09 / $21.09	Professional		$16.66	$21.09	$21.09