Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.47 / $33.86 / $55.02	Facility		$16.47	$33.86	$55.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.44 / $11.03 / $88.00	Professional		$9.44	$11.03	$88.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.52 / $26.11 / $32.64	Professional		$16.52	$26.11	$32.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.32 / $25.06 / $42.94	Professional		$14.32	$25.06	$42.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.32 / $22.07 / $68.54	Facility		$14.32	$22.07	$68.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.59 / $14.32 / $37.29	Professional		$8.59	$14.32	$37.29
Midlands Facility/Professional Facility Modifier Low / Median / High Price $15.86 / $26.39 / $39.84	Facility		$15.86	$26.39	$39.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $17.18 / $26.39 / $37.38	Professional		$17.18	$26.39	$37.38
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $119.20 / $119.20 / $119.20	Facility		$119.20	$119.20	$119.20
United Facility/Professional Facility Modifier Low / Median / High Price $21.48 / $21.48 / $21.48	Facility		$21.48	$21.48	$21.48
United Facility/Professional Professional Modifier Low / Median / High Price $8.59 / $10.85 / $32.94	Professional		$8.59	$10.85	$32.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $11.31 / $14.32 / $14.32	Professional		$11.31	$14.32	$14.32