Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $53.70 / $194.98	Facility		$16.22	$53.70	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.14 / $123.03	Professional		$12.02	$15.14	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $35.48 / $44.67	Professional		$26.92	$35.48	$44.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $32.36 / $70.79	Professional		$20.42	$32.36	$70.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $27.54 / $97.72	Facility		$18.62	$27.54	$97.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $11.22 / $42.66	Professional		$11.22	$11.22	$42.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $22.39 / $23.99	Professional		$22.39	$22.39	$23.99
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $3,467.37 / $4,786.30	Facility		$602.56	$3,467.37	$4,786.30
United Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $18.62 / $40.74	Facility		$18.62	$18.62	$40.74
United Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $11.22 / $40.74	Professional		$11.22	$11.22	$40.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $18.62 / $18.62	Professional		$14.79	$18.62	$18.62