Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.06 / $44.11 / $81.69	Facility		$23.06	$44.11	$81.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.01 / $29.06 / $64.84	Professional		$21.01	$29.06	$64.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.76 / $22.76 / $28.45	Professional		$22.76	$22.76	$28.45
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $17.23 / $29.73 / $42.03	Professional		$17.23	$29.73	$42.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.51 / $23.53 / $39.24	Facility		$20.51	$23.53	$39.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $23.58 / $31.87	Professional		$18.00	$23.58	$31.87
Midlands Facility/Professional Facility Modifier Low / Median / High Price $18.05 / $26.82 / $31.08	Facility		$18.05	$26.82	$31.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $14.88 / $25.02 / $31.87	Professional		$14.88	$25.02	$31.87
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $75.14 / $169.62 / $292.97	Facility		$75.14	$169.62	$292.97
United Facility/Professional Professional Modifier Low / Median / High Price $20.87 / $23.58 / $25.14	Professional		$20.87	$23.58	$25.14
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $23.22 / $23.22 / $23.22	Facility		$23.22	$23.22	$23.22
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $23.22 / $23.22 / $23.22	Professional		$23.22	$23.22	$23.22