Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $32.36 / $131.83	Facility		$13.49	$32.36	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.02 / $89.13	Professional		$10.00	$12.02	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $26.30 / $32.36	Professional		$16.60	$26.30	$32.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $24.55 / $117.49	Professional		$14.79	$24.55	$117.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $17.78 / $42.66	Facility		$13.49	$17.78	$42.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $16.22 / $35.48	Professional		$8.13	$16.22	$35.48
Midlands Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.60 / $17.38	Professional		$16.22	$16.60	$17.38
Midlands Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $16.60 / $16.60	Facility		$16.60	$16.60	$16.60
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility		$1,659.59	$1,659.59	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $13.49 / $30.20	Facility		$13.49	$13.49	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $11.48 / $33.11	Professional		$8.13	$11.48	$33.11
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $13.49 / $13.49	Professional		$10.72	$13.49	$13.49