Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $147.91 / $562.34	Facility		$18.62	$147.91	$562.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.85 / $190.55	Professional		$12.02	$15.85	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $33.11 / $41.69	Professional		$24.55	$33.11	$41.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $30.20 / $109.65	Professional		$19.05	$30.20	$109.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $34.67 / $199.53	Facility		$16.98	$34.67	$199.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $16.98 / $41.69	Professional		$10.23	$16.98	$41.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $21.88 / $77.62	Professional		$20.42	$21.88	$77.62
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $2,089.30 / $2,754.23	Facility		$977.24	$2,089.30	$2,754.23
United Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $38.02	Facility		$16.98	$16.98	$38.02
United Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $12.02 / $37.15	Professional		$10.23	$12.02	$37.15
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $16.98 / $16.98	Professional		$13.49	$16.98	$16.98