Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.29 / $45.18 / $2,399.27	Facility		$26.29	$45.18	$2,399.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.87 / $13.84 / $25.57	Professional		$11.87	$13.84	$25.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.65 / $32.64 / $40.79	Professional		$20.65	$32.64	$40.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $17.98 / $26.26 / $49.43	Professional		$17.98	$26.26	$49.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.98 / $23.20 / $56.33	Facility		$17.98	$23.20	$56.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.03 / $17.98 / $45.29	Professional		$9.03	$17.98	$45.29
Midlands Facility/Professional Facility Modifier Low / Median / High Price $22.01 / $30.17 / $48.77	Facility		$22.01	$30.17	$48.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $21.58 / $32.35 / $46.93	Professional		$21.58	$32.35	$46.93
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $138.65 / $138.65 / $138.65	Facility		$138.65	$138.65	$138.65
United Facility/Professional Professional Modifier Low / Median / High Price $9.03 / $10.79 / $36.94	Professional		$9.03	$10.79	$36.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $14.20 / $17.98 / $17.98	Professional		$14.20	$17.98	$17.98