Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.81 / $65.98 / $197.95	Facility		$20.81	$65.98	$197.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.02 / $27.39 / $130.47	Professional		$16.02	$27.39	$130.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.95 / $37.86 / $47.33	Professional		$23.95	$37.86	$47.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $20.81 / $36.42 / $111.32	Professional		$20.81	$36.42	$111.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.81 / $34.88 / $97.39	Facility		$20.81	$34.88	$97.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $21.43 / $57.44	Professional		$12.49	$21.43	$57.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $25.49 / $42.42 / $65.23	Facility		$25.49	$42.42	$65.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $24.99 / $42.42 / $59.62	Professional		$24.99	$42.42	$59.62
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $67.44 / $1,309.28 / $2,261.48	Facility		$67.44	$1,309.28	$2,261.48
United Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $17.44 / $47.86	Professional		$12.49	$17.44	$47.86
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $16.44 / $20.81 / $20.81	Professional		$16.44	$20.81	$20.81