Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.05 / $62.00 / $140.51	Facility		$21.05	$62.00	$140.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.08 / $21.05 / $77.00	Professional		$11.08	$21.05	$77.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.52 / $26.11 / $32.64	Professional		$16.52	$26.11	$32.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.39 / $25.18 / $106.09	Professional		$14.39	$25.18	$106.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.39 / $24.13 / $72.00	Facility		$14.39	$24.13	$72.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.63 / $14.82 / $38.79	Professional		$8.63	$14.82	$38.79
Midlands Facility/Professional Facility Modifier Low / Median / High Price $17.62 / $29.32 / $45.11	Facility		$17.62	$29.32	$45.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $17.29 / $29.32 / $41.24	Professional		$17.29	$29.32	$41.24
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $460.71 / $460.71 / $460.71	Facility		$460.71	$460.71	$460.71
United Facility/Professional Professional Modifier Low / Median / High Price $8.63 / $12.07 / $33.10	Professional		$8.63	$12.07	$33.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $11.37 / $14.39 / $14.39	Professional		$11.37	$14.39	$14.39