Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.87 / $58.71 / $249.70	Facility		$16.87	$58.71	$249.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.88 / $16.13 / $72.29	Professional		$8.88	$16.13	$72.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.22 / $20.89 / $26.11	Professional		$13.22	$20.89	$26.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $11.53 / $20.18 / $114.83	Professional		$11.53	$20.18	$114.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.53 / $19.34 / $55.77	Facility		$11.53	$19.34	$55.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $11.88 / $31.82	Professional		$6.92	$11.88	$31.82
Midlands Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $23.49 / $36.15	Facility		$14.13	$23.49	$36.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $13.85 / $23.49 / $33.04	Professional		$13.85	$23.49	$33.04
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $179.03 / $179.03 / $179.03	Facility		$179.03	$179.03	$179.03
United Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $9.67 / $27.93	Professional		$6.92	$9.67	$27.93
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $9.11 / $11.53 / $11.53	Professional		$9.11	$11.53	$11.53