Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.34 / $36.75 / $93.04	Facility		$7.34	$36.75	$93.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.98 / $10.47 / $105.60	Professional		$8.98	$10.47	$105.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.69 / $24.81 / $31.01	Professional		$15.69	$24.81	$31.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.60 / $23.80 / $104.83	Professional		$13.60	$23.80	$104.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.60 / $22.80 / $65.48	Facility		$13.60	$22.80	$65.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.16 / $13.60 / $36.57	Professional		$8.16	$13.60	$36.57
Midlands Facility/Professional Facility Modifier Low / Median / High Price $16.34 / $27.70 / $42.64	Facility		$16.34	$27.70	$42.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $26.66 / $36.57	Professional		$3.00	$26.66	$36.57
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $103.56 / $103.56 / $103.56	Facility		$103.56	$103.56	$103.56
United Facility/Professional Professional Modifier Low / Median / High Price $8.16 / $11.40 / $32.94	Professional		$8.16	$11.40	$32.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $10.74 / $13.60 / $13.60	Professional		$10.74	$13.60	$13.60