Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $33.11 / $112.20	Facility		$12.59	$33.11	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $20.42 / $89.13	Professional		$8.91	$20.42	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $23.99 / $30.20	Professional		$15.49	$23.99	$30.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $30.90 / $100.00	Professional		$12.59	$30.90	$100.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $16.22 / $39.81	Facility		$12.59	$16.22	$39.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $15.14 / $33.11	Professional		$7.59	$15.14	$33.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.49 / $16.22	Professional		$15.14	$15.49	$16.22
Midlands Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $15.49 / $15.49	Facility		$15.49	$15.49	$15.49
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Facility		$602.56	$602.56	$602.56
United Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $12.59 / $27.54	Facility		$12.59	$12.59	$27.54
United Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $10.47 / $30.20	Professional		$7.59	$10.47	$30.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.59 / $12.59	Professional		$10.00	$12.59	$12.59