Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.34 / $81.59 / $179.16	Facility		$28.34	$81.59	$179.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.92 / $24.94 / $124.61	Professional		$14.92	$24.94	$124.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.30 / $35.25 / $44.06	Professional		$22.30	$35.25	$44.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $19.38 / $33.92 / $77.40	Professional		$19.38	$33.92	$77.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.38 / $32.38 / $100.00	Facility		$19.38	$32.38	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.63 / $19.38 / $50.58	Professional		$11.63	$19.38	$50.58
Midlands Facility/Professional Facility Modifier Low / Median / High Price $23.73 / $39.47 / $60.76	Facility		$23.73	$39.47	$60.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $23.28 / $39.47 / $55.52	Professional		$23.28	$39.47	$55.52
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $739.56 / $739.56 / $739.56	Facility		$739.56	$739.56	$739.56
United Facility/Professional Professional Modifier Low / Median / High Price $11.63 / $16.25 / $46.94	Professional		$11.63	$16.25	$46.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $15.31 / $19.38 / $19.38	Professional		$15.31	$19.38	$19.38