Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.87 / $78.40 / $161.00	Facility		$27.87	$78.40	$161.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.31 / $30.00 / $121.00	Professional		$14.31	$30.00	$121.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.06 / $33.29 / $41.62	Professional		$21.06	$33.29	$41.62
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $18.57 / $32.52 / $69.55	Professional		$18.57	$32.52	$69.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.57 / $31.16 / $89.72	Facility		$18.57	$31.16	$89.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.15 / $18.57 / $48.49	Professional		$11.15	$18.57	$48.49
Midlands Facility/Professional Facility Modifier Low / Median / High Price $22.76 / $37.86 / $58.25	Facility		$22.76	$37.86	$58.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $22.31 / $37.86 / $53.24	Professional		$22.31	$37.86	$53.24
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $249.52 / $476.22 / $822.54	Facility		$249.52	$476.22	$822.54
United Facility/Professional Professional Modifier Low / Median / High Price $11.15 / $15.58 / $45.02	Professional		$11.15	$15.58	$45.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $14.68 / $18.57 / $18.57	Professional		$14.68	$18.57	$18.57