Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $48.98 / $48.98	Facility		$14.13	$48.98	$48.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $14.13 / $33.11	Professional		$12.88	$14.13	$33.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $64.57 / $81.28	Professional		$10.00	$64.57	$81.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $51.29 / $60.26	Professional		$34.67	$51.29	$60.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $14.79 / $52.48	Facility		$14.13	$14.79	$52.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $75.86 / $223.87	Professional		$44.67	$75.86	$223.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $52.48 / $61.66	Professional		$41.69	$52.48	$61.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Professional		$45.71	$45.71	$45.71
United Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $25.12 / $30.20	Facility		$22.39	$25.12	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $67.61 / $112.20	Professional		$45.71	$67.61	$112.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $38.02 / $38.02	Professional		$30.20	$38.02	$38.02