Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.90 / $35.78 / $119.93	Facility		$26.90	$35.78	$119.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.14 / $14.16 / $118.25	Professional		$12.14	$14.16	$118.25
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 / $84.62	Professional		$18.39	$32.18	$84.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.39 / $30.84 / $88.54	Facility		$18.39	$30.84	$88.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.03 / $18.94 / $49.87	Professional		$11.03	$18.94	$49.87
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 $127.50 / $127.50 / $127.50	Facility		$127.50	$127.50	$127.50
United Facility/Professional Professional Modifier Low / Median / High Price $11.03 / $15.42 / $44.56	Professional		$11.03	$15.42	$44.56
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $14.53 / $18.39 / $18.39	Professional		$14.53	$18.39	$18.39