Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $63.10 / $147.91	Facility		$17.38	$63.10	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $19.05 / $30.90	Professional		$15.14	$19.05	$30.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $43.65 / $53.70	Professional		$29.51	$43.65	$53.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $48.98 / $89.13	Professional		$22.91	$48.98	$89.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $30.90 / $63.10	Facility		$22.91	$30.90	$63.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $29.51 / $112.20	Professional		$13.80	$29.51	$112.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $29.51	Professional		$27.54	$27.54	$29.51
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $24.55 / $48.98	Professional		$22.39	$24.55	$48.98
United Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $22.91 / $52.48	Facility		$22.91	$22.91	$52.48
United Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $13.80 / $57.54	Professional		$13.80	$13.80	$57.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $22.91	Professional		$22.91	$22.91	$22.91