Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.89 / $52.80 / $167.26	Facility		$18.89	$52.80	$167.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.32 / $21.44 / $75.93	Professional		$9.32	$21.44	$75.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.63 / $21.54 / $26.93	Professional		$13.63	$21.54	$26.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.11 / $21.19 / $47.23	Professional		$12.11	$21.19	$47.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.11 / $20.64 / $84.36	Facility		$12.11	$20.64	$84.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.27 / $12.11 / $31.61	Professional		$7.27	$12.11	$31.61
Midlands Facility/Professional Facility Modifier Low / Median / High Price $14.82 / $24.66 / $37.96	Facility		$14.82	$24.66	$37.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $14.55 / $24.66 / $34.69	Professional		$14.55	$24.66	$34.69
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $12.11 / $12.11 / $12.11	Facility		$12.11	$12.11	$12.11
United Facility/Professional Professional Modifier Low / Median / High Price $7.27 / $7.42 / $24.88	Professional		$7.27	$7.42	$24.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $9.57 / $12.11 / $12.11	Professional		$9.57	$12.11	$12.11