Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.71 / $49.80 / $125.30	Facility		$22.71	$49.80	$125.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.91 / $16.22 / $56.93	Professional		$13.91	$16.22	$56.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.37 / $38.52 / $48.14	Professional		$24.37	$38.52	$48.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $21.07 / $31.61 / $54.01	Professional		$21.07	$31.61	$54.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.07 / $32.46 / $101.87	Facility		$21.07	$32.46	$101.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.64 / $21.70 / $57.21	Professional		$12.64	$21.70	$57.21
Midlands Facility/Professional Facility Modifier Low / Median / High Price $25.80 / $42.92 / $66.05	Facility		$25.80	$42.92	$66.05
Midlands Facility/Professional Professional Modifier Low / Median / High Price $25.30 / $42.92 / $58.74	Professional		$25.30	$42.92	$58.74
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $121.96 / $201.24 / $347.59	Facility		$121.96	$201.24	$347.59
United Facility/Professional Professional Modifier Low / Median / High Price $12.64 / $17.17 / $94.97	Professional		$12.64	$17.17	$94.97
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $16.64 / $21.07 / $21.07	Professional		$16.64	$21.07	$21.07