Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $22.39 / $75.86	Facility		$7.08	$22.39	$75.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $12.02 / $61.66	Professional		$7.94	$12.02	$61.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $64.57	Facility		$50.12	$50.12	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $12.88 / $21.38	Professional		$10.47	$12.88	$21.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $17.78 / $35.48	Professional		$11.48	$17.78	$35.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $21.38 / $100.00	Facility		$8.71	$21.38	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $18.20 / $48.98	Professional		$11.75	$18.20	$48.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.95 / $23.44	Professional		$15.85	$19.95	$23.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $17.78 / $22.39	Professional		$17.78	$17.78	$22.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $23.44 / $28.18	Professional		$21.38	$23.44	$28.18
United Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $13.80 / $13.80	Facility		$13.80	$13.80	$13.80
United Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $13.18 / $25.12	Professional		$10.96	$13.18	$25.12
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $15.85 / $18.62	Professional		$15.85	$15.85	$18.62