Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.23 / $89.18 / $865.92	Facility		$26.23	$89.18	$865.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.81 / $53.62 / $679.36	Professional		$13.81	$53.62	$679.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.65 / $32.64 / $40.79	Professional		$20.65	$32.64	$40.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $17.93 / $31.38 / $60.75	Professional		$17.93	$31.38	$60.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.93 / $27.62 / $75.40	Facility		$17.93	$27.62	$75.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.76 / $17.93 / $45.00	Professional		$10.76	$17.93	$45.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $21.54 / $36.54 / $51.04	Facility		$21.54	$36.54	$51.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $20.03 / $35.86 / $48.77	Professional		$20.03	$35.86	$48.77
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $183.19 / $183.19 / $183.19	Facility		$183.19	$183.19	$183.19
United Facility/Professional Professional Modifier Low / Median / High Price $10.76 / $11.00 / $39.78	Professional		$10.76	$11.00	$39.78
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $14.16 / $17.93 / $17.93	Professional		$14.16	$17.93	$17.93