Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.73 / $80.59 / $167.30	Facility		$27.73	$80.59	$167.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.60 / $27.73 / $121.91	Professional		$14.60	$27.73	$121.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.89 / $34.60 / $43.25	Professional		$21.89	$34.60	$43.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $18.96 / $33.18 / $102.30	Professional		$18.96	$33.18	$102.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.96 / $31.81 / $90.97	Facility		$18.96	$31.81	$90.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.38 / $19.53 / $52.10	Professional		$11.38	$19.53	$52.10
Midlands Facility/Professional Facility Modifier Low / Median / High Price $23.23 / $38.61 / $59.44	Facility		$23.23	$38.61	$59.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $22.77 / $38.61 / $54.35	Professional		$22.77	$38.61	$54.35
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $67.44 / $1,269.68 / $2,193.08	Facility		$67.44	$1,269.68	$2,193.08
United Facility/Professional Professional Modifier Low / Median / High Price $11.38 / $15.91 / $47.95	Professional		$11.38	$15.91	$47.95
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $14.98 / $18.96 / $18.96	Professional		$14.98	$18.96	$18.96