Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.86 / $35.79 / $120.40	Facility		$20.86	$35.79	$120.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.84 / $14.90 / $124.42	Professional		$12.84	$14.90	$124.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.30 / $35.25 / $44.06	Professional		$22.30	$35.25	$44.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16.70 / $24.19 / $51.26	Professional		$16.70	$24.19	$51.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $24.97 / $53.21	Facility		$13.80	$24.97	$53.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.98 / $19.35 / $48.94	Professional		$5.98	$19.35	$48.94
Midlands Facility/Professional Facility Modifier Low / Median / High Price $23.22 / $25.16 / $42.41	Facility		$23.22	$25.16	$42.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $19.17 / $29.26 / $50.50	Professional		$19.17	$29.26	$50.50
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $162.69 / $162.69 / $162.69	Facility		$162.69	$162.69	$162.69
United Facility/Professional Professional Modifier Low / Median / High Price $5.98 / $11.61 / $39.79	Professional		$5.98	$11.61	$39.79
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $15.29 / $19.35 / $19.35	Professional		$15.29	$19.35	$19.35