Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.25 / $99.75 / $205.36	Facility		$24.25	$99.75	$205.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $14.35 / $14.35	Professional		$12.30	$14.35	$14.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $33.95 / $42.43	Professional		$21.48	$33.95	$42.43
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $20.50 / $27.96 / $59.36	Professional		$20.50	$27.96	$59.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.64 / $32.29 / $90.43	Facility		$18.64	$32.29	$90.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.18 / $11.18 / $47.14	Professional		$11.18	$11.18	$47.14
Midlands Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $34.09 / $70.04	Facility		$22.39	$34.09	$70.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $22.37 / $34.09 / $48.65	Professional		$22.37	$34.09	$48.65
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $575.21 / $2,753.22 / $4,755.54	Facility		$575.21	$2,753.22	$4,755.54
United Facility/Professional Facility Modifier Low / Median / High Price $18.64 / $18.64 / $42.87	Facility		$18.64	$18.64	$42.87
United Facility/Professional Professional Modifier Low / Median / High Price $11.18 / $11.18 / $47.14	Professional		$11.18	$11.18	$47.14
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $14.73 / $18.64 / $18.64	Professional		$14.73	$18.64	$18.64