Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.19 / $67.29 / $164.13	Facility		$25.19	$67.29	$164.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.05 / $28.99 / $130.79	Professional		$16.05	$28.99	$130.79
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 $20.86 / $36.51 / $80.31	Professional		$20.86	$36.51	$80.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.86 / $35.57 / $100.00	Facility		$20.86	$35.57	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.52 / $20.86 / $54.44	Professional		$12.52	$20.86	$54.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $25.55 / $42.50 / $65.40	Facility		$25.55	$42.50	$65.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $25.05 / $42.50 / $59.77	Professional		$25.05	$42.50	$59.77
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $35.90 / $35.90 / $35.90	Facility		$35.90	$35.90	$35.90
United Facility/Professional Professional Modifier Low / Median / High Price $12.52 / $17.48 / $50.53	Professional		$12.52	$17.48	$50.53
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $16.48 / $20.86 / $20.86	Professional		$16.48	$20.86	$20.86