Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $47.86 / $134.90	Facility		$17.78	$47.86	$134.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $16.98 / $114.82	Professional		$12.88	$16.98	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $34.67 / $42.66	Professional		$21.38	$34.67	$42.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $41.69 / $134.90	Professional		$17.78	$41.69	$134.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $23.44 / $56.23	Facility		$17.78	$23.44	$56.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $20.89 / $46.77	Professional		$10.72	$20.89	$46.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $21.38 / $22.91	Professional		$20.89	$21.38	$22.91
Midlands Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $20.89 / $20.89	Facility		$20.89	$20.89	$20.89
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Facility		$316.23	$316.23	$316.23
United Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $17.78 / $39.81	Facility		$17.78	$17.78	$39.81
United Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $14.13 / $41.69	Professional		$10.72	$14.13	$41.69
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $17.78 / $17.78	Professional		$14.13	$17.78	$17.78