Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.71 / $45.62 / $170.69	Facility		$15.71	$45.62	$170.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.27 / $10.74 / $67.34	Professional		$8.27	$10.74	$67.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.09 / $69.11 / $71.13	Facility		$67.09	$69.11	$71.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.89 / $33.95 / $42.43	Professional		$12.89	$33.95	$42.43
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $10.74 / $18.80 / $62.24	Professional		$10.74	$18.80	$62.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.74 / $24.70 / $73.76	Facility		$10.74	$24.70	$73.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.44 / $10.74 / $39.18	Professional		$6.44	$10.74	$39.18
Midlands Facility/Professional Facility Modifier Low / Median / High Price $17.05 / $29.11 / $55.30	Facility		$17.05	$29.11	$55.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $17.05 / $29.11 / $48.26	Professional		$17.05	$29.11	$48.26
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $539.40 / $1,105.79 / $1,591.25	Facility		$539.40	$1,105.79	$1,591.25
United Facility/Professional Professional Modifier Low / Median / High Price $6.44 / $7.16 / $24.70	Professional		$6.44	$7.16	$24.70
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $8.48 / $10.74 / $10.74	Professional		$8.48	$10.74	$10.74