Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.47 / $37.79 / $94.24	Facility		$16.47	$37.79	$94.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.43 / $8.67 / $72.40	Professional		$7.43	$8.67	$72.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.22 / $20.89 / $26.11	Professional		$13.22	$20.89	$26.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $11.26 / $19.71 / $83.36	Professional		$11.26	$19.71	$83.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.26 / $18.88 / $54.57	Facility		$11.26	$18.88	$54.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $11.60 / $31.03	Professional		$6.76	$11.60	$31.03
Midlands Facility/Professional Facility Modifier Low / Median / High Price $13.79 / $22.95 / $35.29	Facility		$13.79	$22.95	$35.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $13.52 / $22.95 / $32.26	Professional		$13.52	$22.95	$32.26
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $434.17 / $434.17 / $434.17	Facility		$434.17	$434.17	$434.17
United Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $9.44 / $27.27	Professional		$6.76	$9.44	$27.27
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $8.90 / $11.26 / $11.26	Professional		$8.90	$11.26	$11.26