Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.90 / $78.16 / $181.30	Facility		$26.90	$78.16	$181.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.16 / $26.30 / $113.10	Professional		$14.16	$26.30	$113.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.06 / $33.29 / $41.62	Professional		$21.06	$33.29	$41.62
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $18.39 / $32.18 / $80.79	Professional		$18.39	$32.18	$80.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.39 / $33.29 / $110.26	Facility		$18.39	$33.29	$110.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.03 / $18.39 / $48.00	Professional		$11.03	$18.39	$48.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $22.53 / $37.47 / $57.65	Facility		$22.53	$37.47	$57.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $22.09 / $37.47 / $52.69	Professional		$22.09	$37.47	$52.69
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $58.52 / $406.90 / $702.82	Facility		$58.52	$406.90	$702.82
United Facility/Professional Professional Modifier Low / Median / High Price $11.03 / $15.42 / $46.51	Professional		$11.03	$15.42	$46.51
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $14.53 / $18.39 / $18.39	Professional		$14.53	$18.39	$18.39