Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.04 / $17.04 / $315.36	Facility		$17.04	$17.04	$315.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.73 / $17.04 / $450.00	Professional		$14.73	$17.04	$450.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $17.64 / $18.75	Professional		$15.00	$17.64	$18.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.73 / $14.73 / $26.66	Professional		$14.73	$14.73	$26.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.04 / $19.00 / $25.06	Facility		$17.04	$19.00	$25.06
Medica Facility/Professional Professional Modifier Low / Median / High Price $14.70 / $14.70 / $25.60	Professional		$14.70	$14.70	$25.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $16.76 / $17.64 / $22.05	Facility		$16.76	$17.64	$22.05
Midlands Facility/Professional Professional Modifier Low / Median / High Price $16.20 / $17.71 / $22.05	Professional		$16.20	$17.71	$22.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $26.29 / $26.29 / $26.33	Professional		$26.29	$26.29	$26.33
United Facility/Professional Professional Modifier Low / Median / High Price $14.73 / $14.73 / $15.63	Professional		$14.73	$14.73	$15.63
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $11.61 / $14.70 / $14.70	Professional		$11.61	$14.70	$14.70