Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.10 / $31.20 / $32.14	Facility		$18.10	$31.20	$32.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.28 / $12.28 / $56.62	Professional		$12.28	$12.28	$56.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.28 / $14.48 / $24.42	Professional		$12.28	$14.48	$24.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.28 / $36.97 / $75.00	Professional		$12.28	$36.97	$75.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.99 / $19.78 / $31.20	Facility		$11.99	$19.78	$31.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.99 / $13.35 / $88.81	Professional		$11.99	$13.35	$88.81
Midlands Facility/Professional Facility Modifier Low / Median / High Price $17.04 / $25.53 / $34.26	Facility		$17.04	$25.53	$34.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $17.04 / $22.26 / $58.12	Professional		$17.04	$22.26	$58.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $13.65 / $24.38 / $26.15	Professional		$13.65	$24.38	$26.15
United Facility/Professional Professional Modifier Low / Median / High Price $12.28 / $12.65 / $14.61	Professional		$12.28	$12.65	$14.61
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $13.12 / $13.12 / $13.12	Facility		$13.12	$13.12	$13.12
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $10.36 / $13.12 / $13.12	Professional		$10.36	$13.12	$13.12