Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.51 / $42.30 / $217.16	Facility		$24.51	$42.30	$217.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.78 / $13.78 / $115.10	Professional		$13.78	$13.78	$115.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.65 / $32.64 / $40.79	Professional		$20.65	$32.64	$40.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $17.89 / $31.33 / $150.00	Professional		$17.89	$31.33	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.89 / $24.97 / $71.91	Facility		$17.89	$24.97	$71.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.74 / $17.89 / $45.27	Professional		$10.74	$17.89	$45.27
Midlands Facility/Professional Facility Modifier Low / Median / High Price $21.51 / $36.47 / $48.77	Facility		$21.51	$36.47	$48.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $35.79 / $48.55	Professional		$21.48	$35.79	$48.55
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $389.78 / $389.78 / $389.78	Facility		$389.78	$389.78	$389.78
United Facility/Professional Professional Modifier Low / Median / High Price $10.74 / $11.39 / $41.17	Professional		$10.74	$11.39	$41.17
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $14.14 / $17.89 / $17.89	Professional		$14.14	$17.89	$17.89