Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.42 / $44.10 / $75.50	Facility		$26.42	$44.10	$75.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.92 / $13.91 / $31.83	Professional		$11.92	$13.91	$31.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.65 / $32.64 / $40.79	Professional		$20.65	$32.64	$40.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $31.61 / $117.46	Professional		$18.05	$31.61	$117.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.05 / $30.28 / $86.10	Facility		$18.05	$30.28	$86.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.84 / $18.60 / $47.14	Professional		$10.84	$18.60	$47.14
Midlands Facility/Professional Facility Modifier Low / Median / High Price $22.12 / $36.78 / $56.62	Facility		$22.12	$36.78	$56.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $21.69 / $36.78 / $51.72	Professional		$21.69	$36.78	$51.72
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $274.07 / $479.99 / $829.06	Facility		$274.07	$479.99	$829.06
United Facility/Professional Professional Modifier Low / Median / High Price $10.84 / $15.14 / $43.73	Professional		$10.84	$15.14	$43.73
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $14.27 / $18.05 / $18.05	Professional		$14.27	$18.05	$18.05