Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.82 / $16.82 / $37.61	Facility		$16.82	$16.82	$37.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.82 / $17.19 / $9,732.79	Professional		$16.82	$17.19	$9,732.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.54 / $17.02 / $23.43	Professional		$16.54	$17.02	$23.43
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $11.89 / $17.02 / $33.06	Professional		$11.89	$17.02	$33.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.82 / $17.32 / $28.54	Facility		$16.82	$17.32	$28.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $16.89 / $18.80 / $4,929.21	Professional		$16.89	$18.80	$4,929.21
Midlands Facility/Professional Facility Modifier Low / Median / High Price $19.26 / $24.34 / $30.09	Facility		$19.26	$24.34	$30.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $15.33 / $20.34 / $25.34	Professional		$15.33	$20.34	$25.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $17.02 / $33.72 / $35.54	Professional		$17.02	$33.72	$35.54
United Facility/Professional Professional Modifier Low / Median / High Price $17.02 / $17.87 / $20.25	Professional		$17.02	$17.87	$20.25
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $18.48 / $18.48 / $18.48	Facility		$18.48	$18.48	$18.48
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $14.61 / $18.48 / $18.48	Professional		$14.61	$18.48	$18.48