Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.67 / $58.08 / $189.75	Facility		$18.67	$58.08	$189.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.83 / $12.76 / $98.56	Professional		$9.83	$12.76	$98.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.46 / $22.85 / $28.56	Professional		$14.46	$22.85	$28.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.76 / $22.33 / $77.04	Professional		$12.76	$22.33	$77.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.76 / $21.78 / $61.86	Facility		$12.76	$21.78	$61.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.66 / $13.14 / $34.36	Professional		$7.66	$13.14	$34.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $15.64 / $26.00 / $40.00	Facility		$15.64	$26.00	$40.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $15.32 / $26.00 / $36.58	Professional		$15.32	$26.00	$36.58
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $429.92 / $2,265.30 / $3,912.75	Facility		$429.92	$2,265.30	$3,912.75
United Facility/Professional Professional Modifier Low / Median / High Price $7.66 / $10.70 / $32.27	Professional		$7.66	$10.70	$32.27
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $10.08 / $12.76 / $12.76	Professional		$10.08	$12.76	$12.76