Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $34.67 / $60.26	Facility		$23.44	$34.67	$60.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $30.20 / $66.07	Professional		$21.88	$30.20	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $23.44 / $29.51	Professional		$23.44	$23.44	$29.51
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $29.51 / $41.69	Professional		$17.38	$29.51	$41.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $21.88 / $38.90	Facility		$21.38	$21.88	$38.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $23.99 / $32.36	Professional		$17.78	$23.99	$32.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $30.90 / $30.90	Professional		$21.38	$30.90	$30.90
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $204.17 / $288.40	Facility		$87.10	$204.17	$288.40
United Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $22.39 / $52.48	Facility		$22.39	$22.39	$52.48
United Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $23.99 / $25.12	Professional		$20.89	$23.99	$25.12
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $23.44 / $23.44	Facility		$23.44	$23.44	$23.44