Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $31.62 / $75.86	Facility		$17.78	$31.62	$75.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $23.44 / $117.49	Professional		$12.88	$23.44	$117.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $50.12 / $51.29	Facility		$47.86	$50.12	$51.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $35.48 / $44.67	Professional		$26.92	$35.48	$44.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $43.65 / $114.82	Professional		$17.78	$43.65	$114.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $22.91 / $52.48	Facility		$17.78	$22.91	$52.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $17.78 / $45.71	Professional		$10.72	$17.78	$45.71
Midlands Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $21.38 / $48.98	Professional		$16.98	$21.38	$48.98
Midlands Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $51.29 / $51.29	Facility		$16.98	$51.29	$51.29
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Facility		$128.82	$128.82	$128.82
United Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $17.78 / $39.81	Facility		$17.78	$17.78	$39.81
United Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $10.72 / $38.90	Professional		$10.72	$10.72	$38.90
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $17.78 / $17.78	Professional		$14.13	$17.78	$17.78