Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.33 / $48.94 / $107.35	Facility		$29.33	$48.94	$107.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.44 / $26.38 / $65.26	Professional		$15.44	$26.38	$65.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.08 / $36.56 / $45.70	Professional		$24.08	$36.56	$45.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $20.05 / $36.29 / $78.26	Professional		$20.05	$36.29	$78.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.05 / $31.18 / $74.01	Facility		$20.05	$31.18	$74.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.03 / $24.08 / $106.19	Professional		$12.03	$24.08	$106.19
Midlands Facility/Professional Facility Modifier Low / Median / High Price $24.06 / $40.85 / $62.86	Facility		$24.06	$40.85	$62.86
Midlands Facility/Professional Professional Modifier Low / Median / High Price $24.08 / $40.85 / $58.82	Professional		$24.08	$40.85	$58.82
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $295.02 / $295.02 / $295.02	Facility		$295.02	$295.02	$295.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $19.51 / $23.46 / $40.90	Professional		$19.51	$23.46	$40.90
United Facility/Professional Professional Modifier Low / Median / High Price $12.03 / $12.03 / $48.57	Professional		$12.03	$12.03	$48.57
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $20.05 / $20.05 / $20.05	Professional		$20.05	$20.05	$20.05