Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.19 / $62.41 / $142.43	Facility		$27.19	$62.41	$142.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $17.66 / $121.93	Professional		$15.14	$17.66	$121.93
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 / $185.03	Professional		$22.94	$40.15	$185.03
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 $186.59 / $186.59 / $186.59	Facility		$186.59	$186.59	$186.59
United Facility/Professional Professional Modifier Low / Median / High Price $13.76 / $13.76 / $52.76	Professional		$13.76	$13.76	$52.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $18.12 / $22.94 / $22.94	Professional		$18.12	$22.94	$22.94