Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.45 / $73.76 / $313.77	Facility		$24.45	$73.76	$313.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.55 / $21.46 / $102.20	Professional		$12.55	$21.46	$102.20
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 $16.30 / $28.53 / $64.70	Professional		$16.30	$28.53	$64.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.30 / $27.80 / $86.31	Facility		$16.30	$27.80	$86.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $16.79 / $42.54	Professional		$9.77	$16.79	$42.54
Midlands Facility/Professional Facility Modifier Low / Median / High Price $19.97 / $33.21 / $51.10	Facility		$19.97	$33.21	$51.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $19.57 / $33.21 / $45.45	Professional		$19.57	$33.21	$45.45
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $117.62 / $1,462.24 / $2,525.67	Facility		$117.62	$1,462.24	$2,525.67
United Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $13.67 / $37.49	Professional		$9.77	$13.67	$37.49
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $16.30 / $16.30	Professional		$12.88	$16.30	$16.30