Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $73.43 / $116.89	Facility		$11.22	$73.43	$116.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.21 / $11.68 / $76.54	Professional		$6.21	$11.68	$76.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.50 / $15.01 / $18.77	Professional		$9.50	$15.01	$18.77
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $8.07 / $14.12 / $42.23	Professional		$8.07	$14.12	$42.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.27 / $18.91 / $68.64	Facility		$8.27	$18.91	$68.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.84 / $8.07 / $21.06	Professional		$4.84	$8.07	$21.06
Midlands Facility/Professional Facility Modifier Low / Median / High Price $9.89 / $16.45 / $25.30	Facility		$9.89	$16.45	$25.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $9.69 / $16.45 / $23.27	Professional		$9.69	$16.45	$23.27
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $11.24 / $81.18 / $140.22	Facility		$11.24	$81.18	$140.22
United Facility/Professional Professional Modifier Low / Median / High Price $4.84 / $6.77 / $18.55	Professional		$4.84	$6.77	$18.55
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $6.38 / $8.07 / $8.07	Professional		$6.38	$8.07	$8.07