Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.51 / $51.21 / $256.05	Facility		$15.51	$51.21	$256.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.27 / $22.78 / $154.96	Professional		$9.27	$22.78	$154.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.26 / $74.43 / $76.59	Facility		$72.26	$74.43	$76.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.48 / $33.95 / $42.43	Professional		$14.48	$33.95	$42.43
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.05 / $21.09 / $103.40	Professional		$12.05	$21.09	$103.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.05 / $26.63 / $127.40	Facility		$12.05	$26.63	$127.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.23 / $12.41 / $40.19	Professional		$7.23	$12.41	$40.19
Midlands Facility/Professional Facility Modifier Low / Median / High Price $14.76 / $31.00 / $76.59	Facility		$14.76	$31.00	$76.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $15.55 / $30.09 / $48.26	Professional		$15.55	$30.09	$48.26
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $169.77 / $169.77 / $169.77	Facility		$169.77	$169.77	$169.77
United Facility/Professional Professional Modifier Low / Median / High Price $7.23 / $10.10 / $58.65	Professional		$7.23	$10.10	$58.65
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $9.52 / $12.05 / $12.05	Professional		$9.52	$12.05	$12.05