Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $36.31 / $74.13	Facility		$18.20	$36.31	$74.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $15.85 / $120.23	Professional		$10.96	$15.85	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $34.67 / $42.66	Professional		$21.88	$34.67	$42.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $32.36 / $131.83	Professional		$18.20	$32.36	$131.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $23.44 / $56.23	Facility		$18.20	$23.44	$56.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $21.88 / $46.77	Professional		$10.96	$21.88	$46.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $23.44	Professional		$21.88	$21.88	$23.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Facility		$21.88	$21.88	$21.88
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $288.40 / $812.83	Facility		$275.42	$288.40	$812.83
United Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.20 / $39.81	Facility		$18.20	$18.20	$39.81
United Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $15.14 / $43.65	Professional		$10.96	$15.14	$43.65
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $18.20 / $18.20	Professional		$14.13	$18.20	$18.20