Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.31 / $152.08 / $574.00	Facility		$22.31	$152.08	$574.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.31 / $13.20 / $36.11	Professional		$11.31	$13.20	$36.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.82 / $31.33 / $39.17	Professional		$19.82	$31.33	$39.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $18.85 / $25.71 / $108.92	Professional		$18.85	$25.71	$108.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.14 / $35.92 / $139.04	Facility		$17.14	$35.92	$139.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.28 / $17.14 / $41.90	Professional		$10.28	$17.14	$41.90
Midlands Facility/Professional Facility Modifier Low / Median / High Price $20.59 / $31.43 / $49.79	Facility		$20.59	$31.43	$49.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $20.57 / $31.43 / $43.71	Professional		$20.57	$31.43	$43.71
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $976.37 / $2,001.53 / $2,880.25	Facility		$976.37	$2,001.53	$2,880.25
United Facility/Professional Professional Modifier Low / Median / High Price $10.28 / $11.97 / $39.42	Professional		$10.28	$11.97	$39.42
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $13.54 / $17.14 / $17.14	Professional		$13.54	$17.14	$17.14