Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.57 / $20.54 / $51.05	Facility		$17.57	$20.54	$51.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.93 / $9.25 / $56.70	Professional		$7.93	$9.25	$56.70
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 $12.01 / $21.02 / $171.17	Professional		$12.01	$21.02	$171.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.01 / $20.16 / $58.23	Facility		$12.01	$20.16	$58.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.21 / $12.37 / $33.15	Professional		$7.21	$12.37	$33.15
Midlands Facility/Professional Facility Modifier Low / Median / High Price $14.72 / $24.48 / $37.65	Facility		$14.72	$24.48	$37.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $14.42 / $24.48 / $34.44	Professional		$14.42	$24.48	$34.44
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $250.03 / $250.03 / $250.03	Facility		$250.03	$250.03	$250.03
United Facility/Professional Professional Modifier Low / Median / High Price $7.21 / $9.81 / $27.62	Professional		$7.21	$9.81	$27.62
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $9.49 / $12.01 / $12.01	Professional		$9.49	$12.01	$12.01