Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.27 / $47.75 / $122.67	Facility		$21.27	$47.75	$122.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.60 / $14.55 / $92.00	Professional		$9.60	$14.55	$92.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.93 / $26.76 / $33.46	Professional		$16.93	$26.76	$33.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.55 / $25.46 / $64.05	Professional		$14.55	$25.46	$64.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.55 / $24.81 / $100.00	Facility		$14.55	$24.81	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.73 / $14.55 / $37.97	Professional		$8.73	$14.55	$37.97
Midlands Facility/Professional Facility Modifier Low / Median / High Price $17.82 / $29.65 / $45.61	Facility		$17.82	$29.65	$45.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $17.47 / $29.65 / $41.69	Professional		$17.47	$29.65	$41.69
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $104.42 / $104.42 / $104.42	Facility		$104.42	$104.42	$104.42
United Facility/Professional Professional Modifier Low / Median / High Price $8.73 / $12.20 / $36.79	Professional		$8.73	$12.20	$36.79
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $11.49 / $14.55 / $14.55	Professional		$11.49	$14.55	$14.55