Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.21 / $46.20 / $1,544.32	Facility		$14.21	$46.20	$1,544.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.37 / $9.72 / $41.91	Professional		$7.37	$9.72	$41.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.69 / $18.50 / $21.85	Professional		$11.69	$18.50	$21.85
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $7.50 / $12.24 / $37.47	Professional		$7.50	$12.24	$37.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.72 / $17.94 / $30.49	Facility		$8.72	$17.94	$30.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.49 / $18.00 / $77.12	Professional		$9.49	$18.00	$77.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $12.84 / $18.73 / $20.60	Facility		$12.84	$18.73	$20.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $12.84 / $17.30 / $21.04	Professional		$12.84	$17.30	$21.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.72 / $13.24 / $15.71	Professional		$7.72	$13.24	$15.71
United Facility/Professional Professional Modifier Low / Median / High Price $9.08 / $14.50 / $21.83	Professional		$9.08	$14.50	$21.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $12.64 / $16.00 / $18.80	Professional		$12.64	$16.00	$18.80