Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.49 / $51.14 / $167.84	Facility		$27.49	$51.14	$167.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.40 / $14.47 / $27.49	Professional		$12.40	$14.47	$27.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $33.95 / $42.43	Professional		$21.48	$33.95	$42.43
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $18.79 / $32.88 / $124.58	Professional		$18.79	$32.88	$124.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.79 / $31.51 / $90.97	Facility		$18.79	$31.51	$90.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.27 / $19.35 / $50.99	Professional		$11.27	$19.35	$50.99
Midlands Facility/Professional Facility Modifier Low / Median / High Price $23.02 / $38.29 / $58.91	Facility		$23.02	$38.29	$58.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $22.57 / $38.29 / $50.99	Professional		$22.57	$38.29	$50.99
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $32.06 / $32.06 / $32.06	Facility		$32.06	$32.06	$32.06
United Facility/Professional Professional Modifier Low / Median / High Price $11.27 / $15.76 / $45.52	Professional		$11.27	$15.76	$45.52
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $14.84 / $18.79 / $18.79	Professional		$14.84	$18.79	$18.79