Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.95 / $23.37 / $51.02	Facility		$12.95	$23.37	$51.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.93 / $9.25 / $32.47	Professional		$7.93	$9.25	$32.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.63 / $21.54 / $26.93	Professional		$13.63	$21.54	$26.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.01 / $21.02 / $58.10	Professional		$12.01	$21.02	$58.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.01 / $20.14 / $58.23	Facility		$12.01	$20.14	$58.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.21 / $12.01 / $33.15	Professional		$7.21	$12.01	$33.15
Midlands Facility/Professional Facility Modifier Low / Median / High Price $14.71 / $24.46 / $37.65	Facility		$14.71	$24.46	$37.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $14.41 / $24.46 / $33.33	Professional		$14.41	$24.46	$33.33
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $289.13 / $289.13 / $289.13	Facility		$289.13	$289.13	$289.13
United Facility/Professional Professional Modifier Low / Median / High Price $7.21 / $10.07 / $54.15	Professional		$7.21	$10.07	$54.15
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $9.49 / $12.01 / $12.01	Professional		$9.49	$12.01	$12.01