Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.02 / $168.82 / $168.82	Facility		$99.02	$168.82	$168.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.85 / $12.37 / $40.86	Professional		$6.85	$12.37	$40.86
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 / $42.77 / $63.27	Professional		$31.69	$42.77	$63.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $58.62 / $123.14	Facility		$10.00	$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 $300.00 / $300.00 / $300.00	Facility		$300.00	$300.00	$300.00
United Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.49 / $31.15	Professional		$13.49	$13.49	$31.15
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $24.90 / $24.90 / $24.90	Professional		$24.90	$24.90	$24.90