Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.34 / $41.62 / $65.70	Facility		$17.34	$41.62	$65.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.94 / $11.61 / $15.08	Professional		$9.94	$11.61	$15.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.35 / $27.42 / $34.27	Professional		$17.35	$27.42	$34.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.08 / $26.39 / $119.65	Professional		$15.08	$26.39	$119.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.08 / $25.27 / $72.78	Facility		$15.08	$25.27	$72.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.05 / $15.53 / $41.01	Professional		$9.05	$15.53	$41.01
Midlands Facility/Professional Facility Modifier Low / Median / High Price $18.46 / $30.72 / $47.28	Facility		$18.46	$30.72	$47.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $18.11 / $30.72 / $43.16	Professional		$18.11	$30.72	$43.16
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $36.47 / $36.47 / $36.47	Facility		$36.47	$36.47	$36.47
United Facility/Professional Facility Modifier Low / Median / High Price $22.62 / $22.62 / $22.62	Facility		$22.62	$22.62	$22.62
United Facility/Professional Professional Modifier Low / Median / High Price $9.05 / $10.05 / $34.68	Professional		$9.05	$10.05	$34.68
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $11.91 / $15.08 / $15.08	Professional		$11.91	$15.08	$15.08