Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.09 / $25.75 / $67.88	Facility		$14.09	$25.75	$67.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.09 / $9.43 / $33.10	Professional		$8.09	$9.43	$33.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.04 / $22.20 / $27.74	Professional		$14.04	$22.20	$27.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.25 / $19.86 / $121.25	Professional		$12.25	$19.86	$121.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.25 / $15.93 / $43.00	Facility		$12.25	$15.93	$43.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.90 / $12.61 / $31.00	Professional		$6.90	$12.61	$31.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $14.71 / $22.25 / $33.26	Facility		$14.71	$22.25	$33.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $14.70 / $23.39 / $31.97	Professional		$14.70	$23.39	$31.97
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $216.53 / $216.53 / $216.53	Facility		$216.53	$216.53	$216.53
United Facility/Professional Professional Modifier Low / Median / High Price $7.12 / $7.35 / $28.18	Professional		$7.12	$7.35	$28.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $9.68 / $12.25 / $12.25	Professional		$9.68	$12.25	$12.25