Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $12.88 / $12.88	Facility		$12.88	$12.88	$12.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $12.02 / $16.98	Professional		$8.91	$12.02	$16.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $39.81 / $50.12	Professional		$20.42	$39.81	$50.12
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $46.77 / $151.36	Professional		$43.65	$46.77	$151.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $21.88 / $43.65	Facility		$13.18	$21.88	$43.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $14.13 / $40.74	Professional		$9.55	$14.13	$40.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $26.92 / $38.02	Professional		$20.42	$26.92	$38.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $33.11 / $44.67	Professional		$29.51	$33.11	$44.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Professional		$40.74	$40.74	$40.74
United Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $9.55 / $14.13	Facility		$9.55	$9.55	$14.13
United Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $9.55 / $16.60	Professional		$9.33	$9.55	$16.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Professional		$19.95	$19.95	$19.95