Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.67 / $28.88 / $78.14	Facility		$23.67	$28.88	$78.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.68 / $12.46 / $104.04	Professional		$10.68	$12.46	$104.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $29.38 / $36.72	Professional		$18.59	$29.38	$36.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16.18 / $28.32 / $103.61	Professional		$16.18	$28.32	$103.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.18 / $24.86 / $71.91	Facility		$16.18	$24.86	$71.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.71 / $16.67 / $40.29	Professional		$9.71	$16.67	$40.29
Midlands Facility/Professional Facility Modifier Low / Median / High Price $19.82 / $32.94 / $48.55	Facility		$19.82	$32.94	$48.55
Midlands Facility/Professional Professional Modifier Low / Median / High Price $19.44 / $32.94 / $43.23	Professional		$19.44	$32.94	$43.23
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $156.85 / $156.85 / $156.85	Facility		$156.85	$156.85	$156.85
United Facility/Professional Professional Modifier Low / Median / High Price $9.71 / $11.39 / $37.94	Professional		$9.71	$11.39	$37.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $12.78 / $16.18 / $16.18	Professional		$12.78	$16.18	$16.18