Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.30 / $39.79 / $69.83	Facility		$18.30	$39.79	$69.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.26 / $21.15 / $99.82	Professional		$12.26	$21.15	$99.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.17 / $28.72 / $35.90	Professional		$18.17	$28.72	$35.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.92 / $27.86 / $57.53	Professional		$15.92	$27.86	$57.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.92 / $24.44 / $75.62	Facility		$15.92	$24.44	$75.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.92 / $22.22 / $43.23	Professional		$15.92	$22.22	$43.23
Midlands Facility/Professional Facility Modifier Low / Median / High Price $19.48 / $32.40 / $49.91	Facility		$19.48	$32.40	$49.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $19.10 / $32.40 / $45.82	Professional		$19.10	$32.40	$45.82
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $15.92 / $15.92 / $15.92	Facility		$15.92	$15.92	$15.92
United Facility/Professional Professional Modifier Low / Median / High Price $15.92 / $15.92 / $34.85	Professional		$15.92	$15.92	$34.85
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $12.58 / $15.92 / $15.92	Professional		$12.58	$15.92	$15.92