Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.18 / $23.41 / $55.10	Facility		$19.18	$23.41	$55.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.10 / $18.68 / $84.36	Professional		$10.10	$18.68	$84.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.28 / $24.15 / $30.19	Professional		$15.28	$24.15	$30.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.12 / $22.96 / $78.30	Professional		$13.12	$22.96	$78.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.12 / $22.00 / $63.09	Facility		$13.12	$22.00	$63.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.87 / $13.45 / $35.47	Professional		$7.87	$13.45	$35.47
Midlands Facility/Professional Facility Modifier Low / Median / High Price $15.76 / $26.73 / $41.13	Facility		$15.76	$26.73	$41.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $15.74 / $25.58 / $35.47	Professional		$15.74	$25.58	$35.47
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $265.49 / $265.49 / $265.49	Facility		$265.49	$265.49	$265.49
United Facility/Professional Professional Modifier Low / Median / High Price $7.87 / $11.00 / $31.78	Professional		$7.87	$11.00	$31.78
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $10.36 / $13.12 / $13.12	Professional		$10.36	$13.12	$13.12