Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.93 / $50.40 / $70.50	Facility		$27.93	$50.40	$70.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.14 / $19.95 / $30.04	Professional		$17.14	$19.95	$30.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.52 / $39.82 / $51.12	Professional		$24.52	$39.82	$51.12
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $21.53 / $32.54 / $119.53	Professional		$21.53	$32.54	$119.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.12 / $28.35 / $109.95	Facility		$18.12	$28.35	$109.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.08 / $16.54 / $184.46	Professional		$9.08	$16.54	$184.46
Midlands Facility/Professional Facility Modifier Low / Median / High Price $24.19 / $36.27 / $64.56	Facility		$24.19	$36.27	$64.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $24.19 / $40.27 / $68.39	Professional		$24.19	$40.27	$68.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $28.70 / $184.69 / $200.22	Professional		$28.70	$184.69	$200.22
United Facility/Professional Professional Modifier Low / Median / High Price $9.08 / $16.50 / $28.33	Professional		$9.08	$16.50	$28.33
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $18.41 / $23.30 / $27.50	Professional		$18.41	$23.30	$27.50