Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.60 / $39.60 / $186.77	Facility		$18.60	$39.60	$186.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.27 / $14.13 / $151.36	Professional		$8.27	$14.13	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.39 / $19.57 / $24.48	Professional		$12.39	$19.57	$24.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $10.74 / $18.80 / $47.67	Professional		$10.74	$18.80	$47.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.74 / $18.30 / $52.13	Facility		$10.74	$18.30	$52.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.44 / $10.74 / $28.03	Professional		$6.44	$10.74	$28.03
Midlands Facility/Professional Facility Modifier Low / Median / High Price $13.16 / $21.88 / $33.67	Facility		$13.16	$21.88	$33.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $12.89 / $21.88 / $30.77	Professional		$12.89	$21.88	$30.77
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $132.88 / $332.65 / $574.58	Facility		$132.88	$332.65	$574.58
United Facility/Professional Professional Modifier Low / Median / High Price $6.44 / $9.01 / $48.44	Professional		$6.44	$9.01	$48.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $8.48 / $10.74 / $10.74	Professional		$8.48	$10.74	$10.74