Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.01 / $56.41 / $110.83	Facility		$13.01	$56.41	$110.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.12 / $32.90 / $50.00	Professional		$11.12	$32.90	$50.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.42 / $69.42 / $86.78	Professional		$69.42	$69.42	$86.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $31.69 / $41.42 / $59.55	Professional		$31.69	$41.42	$59.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.57 / $58.62 / $123.14	Facility		$15.57	$58.62	$123.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $25.87 / $50.46	Professional		$13.49	$25.87	$50.46
Midlands Facility/Professional Facility Modifier Low / Median / High Price $26.14 / $37.65 / $80.39	Facility		$26.14	$37.65	$80.39
Midlands Facility/Professional Professional Modifier Low / Median / High Price $11.08 / $34.83 / $49.64	Professional		$11.08	$34.83	$49.64
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $136.16 / $318.79 / $550.63	Facility		$136.16	$318.79	$550.63
United Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.83 / $31.15	Professional		$13.49	$13.83	$31.15
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $24.90 / $24.90 / $24.90	Professional		$24.90	$24.90	$24.90