Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.12 / $23.38 / $126.88	Facility		$18.12	$23.38	$126.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.53 / $16.30 / $78.31	Professional		$9.53	$16.30	$78.31
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 $12.39 / $21.68 / $87.15	Professional		$12.39	$21.68	$87.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.39 / $20.77 / $59.47	Facility		$12.39	$20.77	$59.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.43 / $12.39 / $32.34	Professional		$7.43	$12.39	$32.34
Midlands Facility/Professional Facility Modifier Low / Median / High Price $15.17 / $25.23 / $38.84	Facility		$15.17	$25.23	$38.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $14.88 / $25.23 / $35.49	Professional		$14.88	$25.23	$35.49
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $120.84 / $120.84 / $120.84	Facility		$120.84	$120.84	$120.84
United Facility/Professional Professional Modifier Low / Median / High Price $7.43 / $7.60 / $28.50	Professional		$7.43	$7.60	$28.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $9.78 / $12.39 / $12.39	Professional		$9.78	$12.39	$12.39