Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.60 / $44.39 / $62.09	Facility		$24.60	$44.39	$62.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.11 / $17.57 / $26.50	Professional		$15.11	$17.57	$26.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.60 / $34.60 / $43.25	Professional		$21.60	$34.60	$43.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16.30 / $24.89 / $75.34	Professional		$16.30	$24.89	$75.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.57 / $27.06 / $248.32	Facility		$17.57	$27.06	$248.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.68 / $14.53 / $162.76	Professional		$8.68	$14.53	$162.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $21.50 / $39.51 / $56.88	Facility		$21.50	$39.51	$56.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $21.50 / $37.49 / $59.53	Professional		$21.50	$37.49	$59.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $25.50 / $25.50 / $25.50	Professional		$25.50	$25.50	$25.50
United Facility/Professional Professional Modifier Low / Median / High Price $8.72 / $14.53 / $24.95	Professional		$8.72	$14.53	$24.95
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $15.56 / $19.70 / $23.20	Professional		$15.56	$19.70	$23.20