Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.30 / $44.26 / $106.40	Facility		$16.30	$44.26	$106.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.92 / $18.84 / $91.18	Professional		$10.92	$18.84	$91.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.52 / $26.11 / $32.64	Professional		$16.52	$26.11	$32.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.18 / $24.82 / $66.54	Professional		$14.18	$24.82	$66.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.18 / $21.91 / $67.92	Facility		$14.18	$21.91	$67.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $14.61 / $36.75	Professional		$8.51	$14.61	$36.75
Midlands Facility/Professional Facility Modifier Low / Median / High Price $17.36 / $28.88 / $44.45	Facility		$17.36	$28.88	$44.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $17.02 / $28.35 / $38.79	Professional		$17.02	$28.35	$38.79
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $491.02 / $491.02 / $491.02	Facility		$491.02	$491.02	$491.02
United Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $8.51 / $32.61	Professional		$8.51	$8.51	$32.61
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $11.20 / $14.18 / $14.18	Professional		$11.20	$14.18	$14.18