Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.84 / $47.15 / $321.60	Facility		$34.84	$47.15	$321.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.19 / $19.17 / $159.00	Professional		$14.19	$19.17	$159.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.99 / $23.80 / $37.35	Professional		$13.99	$23.80	$37.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.34 / $22.66 / $59.06	Professional		$14.34	$22.66	$59.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.96 / $24.12 / $36.86	Facility		$14.96	$24.12	$36.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $16.57 / $28.83 / $164.18	Professional		$16.57	$28.83	$164.18
Midlands Facility/Professional Facility Modifier Low / Median / High Price $19.70 / $26.00 / $37.50	Facility		$19.70	$26.00	$37.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $19.59 / $25.80 / $37.35	Professional		$19.59	$25.80	$37.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $14.90 / $27.15 / $30.70	Professional		$14.90	$27.15	$30.70
United Facility/Professional Professional Modifier Low / Median / High Price $15.96 / $24.11 / $40.99	Professional		$15.96	$24.11	$40.99
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $23.86 / $30.20 / $35.50	Professional		$23.86	$30.20	$35.50