Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $41.69 / $89.13	Facility		$15.85	$41.69	$89.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $29.51 / $97.72	Professional		$12.02	$29.51	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $30.20 / $38.02	Professional		$22.91	$30.20	$38.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $28.84 / $66.07	Professional		$15.85	$28.84	$66.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $21.88 / $50.12	Facility		$15.85	$21.88	$50.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $22.39 / $41.69	Professional		$15.85	$22.39	$41.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $19.50	Professional		$19.05	$19.05	$19.50
Midlands Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $19.50 / $19.50	Facility		$19.50	$19.50	$19.50
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $15.85 / $15.85	Facility		$15.85	$15.85	$15.85
United Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $15.85 / $35.48	Facility		$15.85	$15.85	$35.48
United Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $15.85 / $36.31	Professional		$14.13	$15.85	$36.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $15.85 / $15.85	Professional		$12.59	$15.85	$15.85