Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $72.44 / $257.04	Facility		$17.38	$72.44	$257.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $28.84 / $138.04	Professional		$12.02	$28.84	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $30.90 / $38.90	Professional		$19.95	$30.90	$38.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $39.81 / $93.33	Professional		$16.22	$39.81	$93.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $25.12 / $79.43	Facility		$16.22	$25.12	$79.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $19.50 / $42.66	Professional		$9.77	$19.50	$42.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.95 / $20.89	Professional		$19.50	$19.95	$20.89
Midlands Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Facility		$19.95	$19.95	$19.95
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $1,862.09 / $2,511.89	Facility		$117.49	$1,862.09	$2,511.89
United Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $16.22 / $36.31	Facility		$16.22	$16.22	$36.31
United Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $13.80 / $39.81	Professional		$9.77	$13.80	$39.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $16.22 / $16.22	Professional		$12.88	$16.22	$16.22