Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $16.22 / $56.23	Facility		$6.03	$16.22	$56.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $11.22 / $50.12	Professional		$6.03	$11.22	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $15.14 / $19.05	Professional		$9.55	$15.14	$19.05
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $14.13 / $37.15	Professional		$7.94	$14.13	$37.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $10.23 / $24.55	Facility		$7.94	$10.23	$24.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $9.33 / $20.42	Professional		$4.68	$9.33	$20.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $9.55 / $10.23	Professional		$9.33	$9.55	$10.23
Midlands Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $9.55 / $9.55	Facility		$9.55	$9.55	$9.55
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Facility		$263.03	$263.03	$263.03
United Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $7.94 / $17.38	Facility		$7.94	$7.94	$17.38
United Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $6.61 / $19.05	Professional		$4.68	$6.61	$19.05
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $7.94 / $7.94	Professional		$6.17	$7.94	$7.94