Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.24 / $124.26 / $400.40	Facility		$37.24	$124.26	$400.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.60 / $94.22 / $490.93	Professional		$19.60	$94.22	$490.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.32 / $46.35 / $57.94	Professional		$29.32	$46.35	$57.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $25.45 / $44.54 / $112.29	Professional		$25.45	$44.54	$112.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $25.45 / $42.65 / $122.48	Facility		$25.45	$42.65	$122.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.27 / $25.45 / $69.83	Professional		$15.27	$25.45	$69.83
Midlands Facility/Professional Facility Modifier Low / Median / High Price $31.16 / $51.85 / $79.79	Facility		$31.16	$51.85	$79.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $30.54 / $51.85 / $72.89	Professional		$30.54	$51.85	$72.89
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $132.53 / $132.53 / $132.53	Facility		$132.53	$132.53	$132.53
United Facility/Professional Professional Modifier Low / Median / High Price $15.27 / $21.32 / $64.36	Professional		$15.27	$21.32	$64.36
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $20.11 / $25.45 / $25.45	Professional		$20.11	$25.45	$25.45