Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.86 / $36.79 / $142.80	Facility		$18.86	$36.79	$142.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.77 / $21.95 / $95.87	Professional		$11.77	$21.95	$95.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.35 / $27.42 / $34.27	Professional		$17.35	$27.42	$34.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.29 / $26.76 / $86.30	Professional		$15.29	$26.76	$86.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.29 / $25.66 / $73.11	Facility		$15.29	$25.66	$73.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.17 / $15.29 / $41.01	Professional		$9.17	$15.29	$41.01
Midlands Facility/Professional Facility Modifier Low / Median / High Price $18.36 / $31.15 / $47.93	Facility		$18.36	$31.15	$47.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $28.04 / $41.01	Professional		$16.98	$28.04	$41.01
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $110.29 / $110.29 / $110.29	Facility		$110.29	$110.29	$110.29
United Facility/Professional Professional Modifier Low / Median / High Price $9.17 / $12.49 / $37.04	Professional		$9.17	$12.49	$37.04
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $12.08 / $15.29 / $15.29	Professional		$12.08	$15.29	$15.29