Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.79 / $21.79 / $21.79	Facility		$21.79	$21.79	$21.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.07 / $17.11 / $28.00	Professional		$7.07	$17.11	$28.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $28.07 / $46.62	Professional		$10.00	$28.07	$46.62
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $19.82 / $27.94 / $48.39	Professional		$19.82	$27.94	$48.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.24 / $18.48 / $40.20	Facility		$10.24	$18.48	$40.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.69 / $15.45 / $106.42	Professional		$9.69	$15.45	$106.42
Midlands Facility/Professional Facility Modifier Low / Median / High Price $13.96 / $28.07 / $40.20	Facility		$13.96	$28.07	$40.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $12.48 / $26.41 / $40.20	Professional		$12.48	$26.41	$40.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $18.44 / $32.92 / $38.95	Professional		$18.44	$32.92	$38.95
United Facility/Professional Professional Modifier Low / Median / High Price $9.44 / $11.51 / $20.87	Professional		$9.44	$11.51	$20.87
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $23.15 / $29.30 / $29.30	Professional		$23.15	$29.30	$29.30