Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.47 / $34.29 / $2,537.87	Facility		$32.47	$34.29	$2,537.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.02 / $9.23 / $9.63	Professional		$7.02	$9.23	$9.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.35 / $14.15 / $26.14	Professional		$9.35	$14.15	$26.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $32.28 / $37.81 / $45.90	Professional		$32.28	$37.81	$45.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.03 / $14.15 / $26.10	Facility		$9.03	$14.15	$26.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.67 / $7.78 / $73.77	Professional		$6.67	$7.78	$73.77
Midlands Facility/Professional Facility Modifier Low / Median / High Price $14.15 / $20.90 / $37.58	Facility		$14.15	$20.90	$37.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $14.15 / $19.36 / $27.28	Professional		$14.15	$19.36	$27.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.61 / $43.03 / $47.73	Professional		$27.61	$43.03	$47.73
United Facility/Professional Professional Modifier Low / Median / High Price $6.15 / $6.68 / $11.46	Professional		$6.15	$6.68	$11.46
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $20.88 / $20.88 / $20.88	Facility		$20.88	$20.88	$20.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $16.50 / $20.88 / $20.88	Professional		$16.50	$20.88	$20.88