Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.06 / $48.69 / $115.88	Facility		$47.06	$48.69	$115.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.09 / $2,004.45 / $11,963.16	Professional		$31.09	$2,004.45	$11,963.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.69 / $31.69 / $31.69	Facility		$31.69	$31.69	$31.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.09 / $36.63 / $38.86	Professional		$31.09	$36.63	$38.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $31.09 / $34.77 / $150.00	Professional		$31.09	$34.77	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $31.18 / $37.40 / $82.00	Facility		$31.18	$37.40	$82.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $31.18 / $31.18 / $86.19	Professional		$31.18	$31.18	$86.19
Midlands Facility/Professional Facility Modifier Low / Median / High Price $36.63 / $49.15 / $82.00	Facility		$36.63	$49.15	$82.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $35.15 / $66.93 / $117.19	Professional		$35.15	$66.93	$117.19
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,702.03 / $1,702.03 / $1,702.03	Facility		$1,702.03	$1,702.03	$1,702.03
United Facility/Professional Professional Modifier Low / Median / High Price $31.09 / $31.09 / $32.02	Professional		$31.09	$31.09	$32.02
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $31.18 / $31.18 / $31.18	Facility		$31.18	$31.18	$31.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $31.18 / $31.18 / $31.18	Professional		$31.18	$31.18	$31.18