Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.93 / $49.18 / $144.90	Facility		$23.93	$49.18	$144.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.02 / $25.45 / $130.47	Professional		$16.02	$25.45	$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 / $119.70	Professional		$20.81	$36.42	$119.70
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 / $67.44 / $67.44	Facility		$67.44	$67.44	$67.44
United Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $16.98 / $50.42	Professional		$12.49	$16.98	$50.42
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $16.44 / $20.81 / $20.81	Professional		$16.44	$20.81	$20.81