Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.29 / $43.62 / $58.46	Facility		$22.29	$43.62	$58.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.64 / $15.92 / $118.80	Professional		$13.64	$15.92	$118.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.95 / $37.86 / $47.33	Professional		$23.95	$37.86	$47.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $20.67 / $33.61 / $118.42	Professional		$20.67	$33.61	$118.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.67 / $26.90 / $72.84	Facility		$20.67	$26.90	$72.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.69 / $20.67 / $53.00	Professional		$11.69	$20.67	$53.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $25.32 / $38.34 / $57.63	Facility		$25.32	$38.34	$57.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $24.80 / $42.11 / $53.95	Professional		$24.80	$42.11	$53.95
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $301.12 / $301.12 / $301.12	Facility		$301.12	$301.12	$301.12
United Facility/Professional Professional Modifier Low / Median / High Price $12.04 / $12.40 / $42.49	Professional		$12.04	$12.40	$42.49
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $16.32 / $20.67 / $20.67	Professional		$16.32	$20.67	$20.67