Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.57 / $57.90 / $165.44	Facility		$17.57	$57.90	$165.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.61 / $14.24 / $62.40	Professional		$7.61	$14.24	$62.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.22 / $20.89 / $26.11	Professional		$13.22	$20.89	$26.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.68 / $17.30 / $66.97	Professional		$12.68	$17.30	$66.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.53 / $14.88 / $46.70	Facility		$11.53	$14.88	$46.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $6.92 / $26.52	Professional		$6.92	$6.92	$26.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $13.85 / $20.18 / $44.26	Facility		$13.85	$20.18	$44.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $13.84 / $20.18 / $25.27	Professional		$13.84	$20.18	$25.27
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $169.45 / $169.45 / $169.45	Facility		$169.45	$169.45	$169.45
United Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $6.92 / $23.61	Professional		$6.92	$6.92	$23.61
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $9.11 / $11.53 / $11.53	Professional		$9.11	$11.53	$11.53