Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.04 / $23.70 / $118.54	Facility		$14.04	$23.70	$118.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.11 / $9.11 / $84.00	Professional		$9.11	$9.11	$84.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.63 / $21.54 / $26.93	Professional		$13.63	$21.54	$26.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $11.85 / $16.59 / $114.72	Professional		$11.85	$16.59	$114.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.89 / $15.41 / $32.14	Facility		$10.89	$15.41	$32.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $11.85 / $29.97	Professional		$5.13	$11.85	$29.97
Midlands Facility/Professional Facility Modifier Low / Median / High Price $14.52 / $19.88 / $31.02	Facility		$14.52	$19.88	$31.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $14.22 / $23.71 / $30.93	Professional		$14.22	$23.71	$30.93
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $220.92 / $220.92 / $220.92	Facility		$220.92	$220.92	$220.92
United Facility/Professional Professional Modifier Low / Median / High Price $4.98 / $7.11 / $16.36	Professional		$4.98	$7.11	$16.36
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $9.36 / $11.85 / $11.85	Professional		$9.36	$11.85	$11.85