Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.38 / $62.41 / $228.69	Facility		$26.38	$62.41	$228.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $17.66 / $33.54	Professional		$15.14	$17.66	$33.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.43 / $41.78 / $52.22	Professional		$26.43	$41.78	$52.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $22.94 / $40.15 / $170.23	Professional		$22.94	$40.15	$170.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $22.94 / $35.39 / $110.37	Facility		$22.94	$35.39	$110.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.76 / $23.63 / $63.17	Professional		$13.76	$23.63	$63.17
Midlands Facility/Professional Facility Modifier Low / Median / High Price $28.10 / $46.74 / $71.92	Facility		$28.10	$46.74	$71.92
Midlands Facility/Professional Professional Modifier Low / Median / High Price $27.55 / $46.74 / $63.17	Professional		$27.55	$46.74	$63.17
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $144.44 / $144.44 / $144.44	Facility		$144.44	$144.44	$144.44
United Facility/Professional Professional Modifier Low / Median / High Price $13.76 / $15.29 / $55.57	Professional		$13.76	$15.29	$55.57
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $18.12 / $22.94 / $22.94	Professional		$18.12	$22.94	$22.94