Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $64.57 / $117.49	Facility		$15.14	$64.57	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $17.38 / $67.61	Professional		$7.59	$17.38	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $18.62 / $23.44	Professional		$18.62	$18.62	$23.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $23.99 / $74.13	Professional		$9.77	$23.99	$74.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $22.39 / $97.72	Facility		$9.77	$22.39	$97.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $10.72 / $25.12	Professional		$5.89	$10.72	$25.12
Midlands Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $11.75 / $11.75	Professional		$11.75	$11.75	$11.75
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,380.38 / $3,890.45	Facility		$389.05	$1,380.38	$3,890.45
United Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $9.77 / $21.38	Facility		$9.77	$9.77	$21.38
United Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $8.13 / $23.44	Professional		$5.89	$8.13	$23.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $9.77 / $9.77	Professional		$7.59	$9.77	$9.77