Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.61 / $13.61 / $26.71	Facility		$13.61	$13.61	$26.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.36 / $16.55 / $42.13	Professional		$10.36	$16.55	$42.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.56 / $25.49 / $56.28	Professional		$14.56	$25.49	$56.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $11.91 / $27.63 / $118.68	Professional		$11.91	$27.63	$118.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.80 / $25.46 / $43.03	Facility		$12.80	$25.46	$43.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $22.45 / $37.97 / $250.96	Professional		$22.45	$37.97	$250.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $16.76 / $33.52 / $50.34	Facility		$16.76	$33.52	$50.34
Midlands Facility/Professional Professional Modifier Low / Median / High Price $16.76 / $28.80 / $50.34	Professional		$16.76	$28.80	$50.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $20.23 / $23.37 / $44.77	Professional		$20.23	$23.37	$44.77
United Facility/Professional Professional Modifier Low / Median / High Price $22.54 / $28.48 / $55.10	Professional		$22.54	$28.48	$55.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $22.00 / $42.40	Professional		$18.00	$22.00	$42.40