Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.07 / $54.90 / $118.08	Facility		$48.07	$54.90	$118.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.82 / $48.07 / $98.80	Professional		$27.82	$48.07	$98.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.61 / $34.61 / $43.27	Professional		$34.61	$34.61	$43.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $27.21 / $48.95 / $93.30	Professional		$27.21	$48.95	$93.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $29.00 / $48.07 / $61.47	Facility		$29.00	$48.07	$61.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $29.00 / $47.74 / $49.86	Professional		$29.00	$47.74	$49.86
Midlands Facility/Professional Facility Modifier Low / Median / High Price $25.11 / $34.72 / $43.53	Facility		$25.11	$34.72	$43.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $22.95 / $29.00 / $46.36	Professional		$22.95	$29.00	$46.36
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $273.80 / $1,749.34 / $3,021.58	Facility		$273.80	$1,749.34	$3,021.58
United Facility/Professional Professional Modifier Low / Median / High Price $42.25 / $47.74 / $49.86	Professional		$42.25	$47.74	$49.86
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $36.36 / $36.36 / $36.36	Facility		$36.36	$36.36	$36.36
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $36.36 / $36.36 / $36.36	Professional		$36.36	$36.36	$36.36