Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.63 / $50.63 / $53.48	Facility		$50.63	$50.63	$53.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.39 / $14.39 / $14.97	Professional		$14.39	$14.39	$14.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $2.02 / $2.02	Professional		$2.02	$2.02	$2.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Professional		$50.00	$50.00	$50.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.75 / $14.39 / $62.94	Facility		$2.75	$14.39	$62.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.08 / $9.08 / $9.08	Professional		$9.08	$9.08	$9.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2.95 / $3.05 / $4.30	Facility		$2.95	$3.05	$4.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $27.40 / $27.40	Professional		$27.40	$27.40	$27.40
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1.99 / $1.99 / $1.99	Facility		$1.99	$1.99	$1.99