Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.98 / $21.98 / $65.72	Facility		$21.98	$21.98	$65.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.68 / $23.53 / $47.93	Professional		$18.68	$23.53	$47.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.26 / $21.65 / $26.58	Professional		$21.26	$21.65	$26.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.85 / $19.29 / $43.83	Professional		$12.85	$19.29	$43.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.70 / $24.14 / $36.57	Facility		$20.70	$24.14	$36.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $20.88 / $23.59 / $29.38	Professional		$20.88	$23.59	$29.38
Midlands Facility/Professional Facility Modifier Low / Median / High Price $17.84 / $25.68 / $28.26	Facility		$17.84	$25.68	$28.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $21.40 / $25.68 / $37.45	Professional		$21.40	$25.68	$37.45
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $45.92 / $168.00 / $239.41	Facility		$45.92	$168.00	$239.41
United Facility/Professional Professional Modifier Low / Median / High Price $20.88 / $23.59 / $24.64	Professional		$20.88	$23.59	$24.64
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $18.44 / $18.44 / $18.44	Facility		$18.44	$18.44	$18.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $18.44 / $18.44 / $18.44	Professional		$18.44	$18.44	$18.44