Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.42 / $36.22 / $68.89	Facility		$22.42	$36.22	$68.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.80 / $11.80 / $98.51	Professional		$11.80	$11.80	$98.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.35 / $27.42 / $34.27	Professional		$17.35	$27.42	$34.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.32 / $26.81 / $143.97	Professional		$15.32	$26.81	$143.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.32 / $26.13 / $74.00	Facility		$15.32	$26.13	$74.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.19 / $15.78 / $41.01	Professional		$9.19	$15.78	$41.01
Midlands Facility/Professional Facility Modifier Low / Median / High Price $18.77 / $31.22 / $48.03	Facility		$18.77	$31.22	$48.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $18.38 / $31.22 / $41.01	Professional		$18.38	$31.22	$41.01
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $41.01 / $41.01 / $41.01	Facility		$41.01	$41.01	$41.01
United Facility/Professional Professional Modifier Low / Median / High Price $9.19 / $12.85 / $69.09	Professional		$9.19	$12.85	$69.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $12.10 / $15.32 / $15.32	Professional		$12.10	$15.32	$15.32