Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.41 / $39.00 / $102.69	Facility		$18.41	$39.00	$102.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.69 / $11.83 / $90.00	Professional		$9.69	$11.83	$90.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.46 / $22.85 / $28.56	Professional		$14.46	$22.85	$28.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.58 / $22.02 / $86.34	Professional		$12.58	$22.02	$86.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.58 / $21.10 / $60.64	Facility		$12.58	$21.10	$60.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.55 / $12.96 / $34.36	Professional		$7.55	$12.96	$34.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $15.41 / $25.61 / $39.44	Facility		$15.41	$25.61	$39.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $15.11 / $25.61 / $36.04	Professional		$15.11	$25.61	$36.04
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $604.53 / $604.53 / $604.53	Facility		$604.53	$604.53	$604.53
United Facility/Professional Professional Modifier Low / Median / High Price $7.55 / $10.55 / $56.73	Professional		$7.55	$10.55	$56.73
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $9.94 / $12.58 / $12.58	Professional		$9.94	$12.58	$12.58