Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.09 / $63.80 / $149.94	Facility		$27.09	$63.80	$149.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.26 / $26.23 / $117.00	Professional		$14.26	$26.23	$117.00
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 $18.52 / $32.40 / $84.99	Professional		$18.52	$32.40	$84.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.52 / $31.06 / $89.72	Facility		$18.52	$31.06	$89.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.11 / $19.07 / $50.99	Professional		$11.11	$19.07	$50.99
Midlands Facility/Professional Facility Modifier Low / Median / High Price $22.68 / $37.71 / $58.06	Facility		$22.68	$37.71	$58.06
Midlands Facility/Professional Professional Modifier Low / Median / High Price $22.24 / $37.71 / $53.05	Professional		$22.24	$37.71	$53.05
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $267.04 / $267.04 / $267.04	Facility		$267.04	$267.04	$267.04
United Facility/Professional Professional Modifier Low / Median / High Price $11.11 / $15.12 / $44.84	Professional		$11.11	$15.12	$44.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $14.63 / $18.52 / $18.52	Professional		$14.63	$18.52	$18.52