Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.52 / $20.72 / $112.59	Facility		$12.52	$20.72	$112.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.66 / $8.94 / $38.75	Professional		$7.66	$8.94	$38.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.22 / $20.89 / $26.11	Professional		$13.22	$20.89	$26.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $11.61 / $20.32 / $152.96	Professional		$11.61	$20.32	$152.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.61 / $19.44 / $55.77	Facility		$11.61	$19.44	$55.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.97 / $11.96 / $32.04	Professional		$6.97	$11.96	$32.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $14.21 / $23.66 / $36.40	Facility		$14.21	$23.66	$36.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $13.94 / $23.66 / $33.24	Professional		$13.94	$23.66	$33.24
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $270.92 / $270.92 / $270.92	Facility		$270.92	$270.92	$270.92
United Facility/Professional Professional Modifier Low / Median / High Price $6.97 / $9.72 / $29.36	Professional		$6.97	$9.72	$29.36
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $9.17 / $11.61 / $11.61	Professional		$9.17	$11.61	$11.61