Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.06 / $47.40 / $945.47	Facility		$23.06	$47.40	$945.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.44 / $15.44 / $29.33	Professional		$15.44	$15.44	$29.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.13 / $36.56 / $45.70	Professional		$23.13	$36.56	$45.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $20.05 / $35.09 / $60.62	Professional		$20.05	$35.09	$60.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.05 / $33.61 / $74.01	Facility		$20.05	$33.61	$74.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.03 / $24.08 / $90.42	Professional		$12.03	$24.08	$90.42
Midlands Facility/Professional Facility Modifier Low / Median / High Price $24.08 / $40.85 / $62.86	Facility		$24.08	$40.85	$62.86
Midlands Facility/Professional Professional Modifier Low / Median / High Price $24.08 / $40.85 / $57.77	Professional		$24.08	$40.85	$57.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $20.05 / $20.05 / $35.79	Professional		$20.05	$20.05	$35.79
United Facility/Professional Professional Modifier Low / Median / High Price $12.03 / $12.03 / $50.71	Professional		$12.03	$12.03	$50.71
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $15.84 / $20.05 / $20.05	Professional		$15.84	$20.05	$20.05