Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.24 / $64.80 / $152.94	Facility		$26.24	$64.80	$152.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.32 / $20.82 / $92.00	Professional		$11.32	$20.82	$92.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.93 / $26.76 / $33.46	Professional		$16.93	$26.76	$33.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.70 / $25.73 / $55.01	Professional		$14.70	$25.73	$55.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.70 / $28.74 / $100.00	Facility		$14.70	$28.74	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.82 / $14.70 / $38.36	Professional		$8.82	$14.70	$38.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $18.01 / $29.96 / $46.08	Facility		$18.01	$29.96	$46.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $17.66 / $29.96 / $42.13	Professional		$17.66	$29.96	$42.13
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $156.63 / $1,364.23 / $2,356.40	Facility		$156.63	$1,364.23	$2,356.40
United Facility/Professional Professional Modifier Low / Median / High Price $8.82 / $12.32 / $33.81	Professional		$8.82	$12.32	$33.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $11.61 / $14.70 / $14.70	Professional		$11.61	$14.70	$14.70