Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.02 / $28.88 / $171.93	Facility		$14.02	$28.88	$171.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.38 / $7.47 / $142.56	Professional		$7.38	$7.47	$142.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.15 / $17.63 / $22.03	Professional		$11.15	$17.63	$22.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $9.58 / $16.61 / $75.80	Professional		$9.58	$16.61	$75.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.58 / $13.71 / $46.07	Facility		$9.58	$13.71	$46.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $9.86 / $24.23	Professional		$5.75	$9.86	$24.23
Midlands Facility/Professional Facility Modifier Low / Median / High Price $11.73 / $19.26 / $26.60	Facility		$11.73	$19.26	$26.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $11.50 / $19.50 / $25.00	Professional		$11.50	$19.50	$25.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $146.55 / $146.55 / $146.55	Facility		$146.55	$146.55	$146.55
United Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $5.77 / $19.68	Professional		$5.75	$5.77	$19.68
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $7.57 / $9.58 / $9.58	Professional		$7.57	$9.58	$9.58