Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.94 / $34.18 / $47.82	Facility		$18.94	$34.18	$47.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.64 / $13.53 / $20.50	Professional		$11.64	$13.53	$20.50
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 $10.88 / $16.32 / $24.20	Professional		$10.88	$16.32	$24.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.79 / $18.23 / $248.32	Facility		$11.79	$18.23	$248.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.08 / $11.20 / $125.84	Professional		$5.08	$11.20	$125.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $16.51 / $24.36 / $43.99	Facility		$16.51	$24.36	$43.99
Midlands Facility/Professional Professional Modifier Low / Median / High Price $16.51 / $27.50 / $45.85	Professional		$16.51	$27.50	$45.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $19.60 / $19.60 / $19.60	Professional		$19.60	$19.60	$19.60
United Facility/Professional Professional Modifier Low / Median / High Price $5.08 / $11.20 / $23.33	Professional		$5.08	$11.20	$23.33
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $12.90 / $15.10	Professional		$10.19	$12.90	$15.10