Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.77 / $71.98 / $177.00	Facility		$24.77	$71.98	$177.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.04 / $22.52 / $107.00	Professional		$13.04	$22.52	$107.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.41 / $30.68 / $38.35	Professional		$19.41	$30.68	$38.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16.94 / $29.65 / $82.07	Professional		$16.94	$29.65	$82.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.94 / $26.12 / $81.26	Facility		$16.94	$26.12	$81.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.16 / $16.94 / $44.21	Professional		$10.16	$16.94	$44.21
Midlands Facility/Professional Facility Modifier Low / Median / High Price $20.34 / $34.52 / $53.11	Facility		$20.34	$34.52	$53.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $20.32 / $33.88 / $46.55	Professional		$20.32	$33.88	$46.55
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $272.70 / $559.04 / $804.48	Facility		$272.70	$559.04	$804.48
United Facility/Professional Professional Modifier Low / Median / High Price $10.16 / $14.20 / $42.84	Professional		$10.16	$14.20	$42.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $13.38 / $16.94 / $16.94	Professional		$13.38	$16.94	$16.94