Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.29 / $50.22 / $113.05	Facility		$16.29	$50.22	$113.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.31 / $17.68 / $77.73	Professional		$9.31	$17.68	$77.73
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 $12.09 / $21.16 / $62.43	Professional		$12.09	$21.16	$62.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.09 / $21.52 / $72.50	Facility		$12.09	$21.52	$72.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.25 / $12.09 / $31.55	Professional		$7.25	$12.09	$31.55
Midlands Facility/Professional Facility Modifier Low / Median / High Price $14.81 / $24.63 / $37.90	Facility		$14.81	$24.63	$37.90
Midlands Facility/Professional Professional Modifier Low / Median / High Price $14.52 / $24.63 / $34.63	Professional		$14.52	$24.63	$34.63
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $39.22 / $158.41 / $273.61	Facility		$39.22	$158.41	$273.61
United Facility/Professional Professional Modifier Low / Median / High Price $7.25 / $9.86 / $29.28	Professional		$7.25	$9.86	$29.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $12.09 / $12.09	Professional		$9.55	$12.09	$12.09