Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $23.44 / $257.04	Facility		$17.78	$23.44	$257.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $33.11 / $77.62	Professional		$19.05	$33.11	$77.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Facility		$56.23	$56.23	$56.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $39.81 / $75.86	Professional		$19.95	$39.81	$75.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $30.90 / $85.11	Professional		$21.38	$30.90	$85.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $33.88 / $61.66	Facility		$23.44	$33.88	$61.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $45.71 / $407.38	Professional		$26.92	$45.71	$407.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $54.95 / $70.79	Professional		$38.02	$54.95	$70.79
Midlands Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Facility		$56.23	$56.23	$56.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $46.77 / $70.79	Professional		$26.30	$46.77	$70.79
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Facility		$97.72	$97.72	$97.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $33.88 / $53.70	Professional		$24.55	$33.88	$53.70
United Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Facility		$39.81	$39.81	$39.81
United Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $41.69 / $72.44	Professional		$26.30	$41.69	$72.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $33.11 / $40.74	Professional		$26.92	$33.11	$40.74