Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.26 / $60.80 / $136.80	Facility		$24.26	$60.80	$136.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.99 / $20.88 / $110.70	Professional		$10.99	$20.88	$110.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.52 / $26.11 / $32.64	Professional		$16.52	$26.11	$32.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.27 / $24.97 / $65.56	Professional		$14.27	$24.97	$65.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.27 / $24.33 / $56.02	Facility		$14.27	$24.33	$56.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.56 / $14.70 / $37.24	Professional		$8.56	$14.70	$37.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $17.48 / $29.06 / $44.74	Facility		$17.48	$29.06	$44.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $17.13 / $29.06 / $40.89	Professional		$17.13	$29.06	$40.89
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $231.88 / $1,085.79 / $1,586.91	Facility		$231.88	$1,085.79	$1,586.91
United Facility/Professional Professional Modifier Low / Median / High Price $8.56 / $11.96 / $32.82	Professional		$8.56	$11.96	$32.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $11.27 / $14.27 / $14.27	Professional		$11.27	$14.27	$14.27