Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $97.72 / $234.42	Facility		$18.62	$97.72	$234.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.85 / $66.07	Professional		$12.02	$15.85	$66.07
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 / $117.49	Professional		$19.05	$30.20	$117.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $36.31 / $125.89	Facility		$17.38	$36.31	$125.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $10.47 / $39.81	Professional		$10.47	$10.47	$39.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $22.39	Professional		$20.89	$20.89	$22.39
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $3,090.30 / $4,168.69	Facility		$1,445.44	$3,090.30	$4,168.69
United Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $17.38 / $38.02	Facility		$17.38	$17.38	$38.02
United Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $10.47 / $38.02	Professional		$10.47	$10.47	$38.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $17.38 / $17.38	Professional		$13.49	$17.38	$17.38