Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.75 / $16.75 / $30.98	Facility		$16.75	$16.75	$30.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.31 / $14.31 / $16.75	Professional		$14.31	$14.31	$16.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.18 / $15.53 / $20.66	Professional		$14.18	$15.53	$20.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.31 / $25.90 / $39.99	Professional		$14.31	$25.90	$39.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.08 / $16.75 / $24.51	Facility		$14.08	$16.75	$24.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $14.08 / $15.67 / $61.68	Professional		$14.08	$15.67	$61.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $16.71 / $21.11 / $28.56	Facility		$16.71	$21.11	$28.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $16.71 / $18.41 / $21.51	Professional		$16.71	$18.41	$21.51
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $14.31 / $28.36 / $29.89	Professional		$14.31	$28.36	$29.89
United Facility/Professional Professional Modifier Low / Median / High Price $14.31 / $15.17 / $19.00	Professional		$14.31	$15.17	$19.00
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $15.40 / $15.40 / $15.40	Facility		$15.40	$15.40	$15.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $12.17 / $15.40 / $15.40	Professional		$12.17	$15.40	$15.40