Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.12 / $48.77 / $136.40	Facility		$26.12	$48.77	$136.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $19.48 / $115.23	Professional		$13.80	$19.48	$115.23
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 $17.92 / $31.36 / $107.73	Professional		$17.92	$31.36	$107.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.92 / $28.77 / $76.95	Facility		$17.92	$28.77	$76.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.75 / $18.46 / $46.77	Professional		$10.75	$18.46	$46.77
Midlands Facility/Professional Facility Modifier Low / Median / High Price $20.66 / $34.36 / $56.18	Facility		$20.66	$34.36	$56.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $21.50 / $34.36 / $48.32	Professional		$21.50	$34.36	$48.32
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $314.18 / $314.18 / $314.18	Facility		$314.18	$314.18	$314.18
United Facility/Professional Professional Modifier Low / Median / High Price $10.75 / $11.24 / $41.22	Professional		$10.75	$11.24	$41.22
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $14.16 / $17.92 / $17.92	Professional		$14.16	$17.92	$17.92