Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.78 / $28.31 / $79.05	Facility		$13.78	$28.31	$79.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.22 / $9.22 / $76.00	Professional		$9.22	$9.22	$76.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.63 / $21.54 / $26.93	Professional		$13.63	$21.54	$26.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $11.98 / $20.97 / $76.48	Professional		$11.98	$20.97	$76.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.98 / $20.11 / $38.44	Facility		$11.98	$20.11	$38.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.19 / $12.34 / $33.06	Professional		$7.19	$12.34	$33.06
Midlands Facility/Professional Facility Modifier Low / Median / High Price $14.69 / $24.43 / $37.56	Facility		$14.69	$24.43	$37.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $14.39 / $24.43 / $34.36	Professional		$14.39	$24.43	$34.36
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $91.71 / $91.71 / $91.71	Facility		$91.71	$91.71	$91.71
United Facility/Professional Professional Modifier Low / Median / High Price $7.19 / $7.99 / $27.55	Professional		$7.19	$7.99	$27.55
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $9.46 / $11.98 / $11.98	Professional		$9.46	$11.98	$11.98