Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $60.26 / $151.36	Facility		$21.88	$60.26	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $26.30 / $123.03	Professional		$14.13	$26.30	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $35.48 / $43.65	Professional		$26.30	$35.48	$43.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $45.71 / $85.11	Professional		$18.62	$45.71	$85.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $28.18 / $89.13	Facility		$18.62	$28.18	$89.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $22.39 / $47.86	Professional		$11.22	$22.39	$47.86
Midlands Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $22.39 / $22.91	Professional		$22.39	$22.39	$22.91
Midlands Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $22.91 / $22.91	Facility		$22.91	$22.91	$22.91
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Facility		$269.15	$269.15	$269.15
United Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $18.62 / $40.74	Facility		$18.62	$18.62	$40.74
United Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $15.49 / $44.67	Professional		$11.22	$15.49	$44.67
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $18.62 / $18.62	Professional		$14.79	$18.62	$18.62