Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.26 / $57.20 / $287.37	Facility		$25.26	$57.20	$287.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.30 / $24.45 / $114.48	Professional		$13.30	$24.45	$114.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.82 / $31.33 / $39.17	Professional		$19.82	$31.33	$39.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $17.27 / $30.22 / $151.99	Professional		$17.27	$30.22	$151.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.27 / $23.71 / $68.54	Facility		$17.27	$23.71	$68.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.36 / $17.27 / $37.85	Professional		$10.36	$17.27	$37.85
Midlands Facility/Professional Facility Modifier Low / Median / High Price $15.86 / $31.67 / $47.30	Facility		$15.86	$31.67	$47.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $19.57 / $31.09 / $45.07	Professional		$19.57	$31.09	$45.07
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $967.78 / $3,797.90 / $6,560.00	Facility		$967.78	$3,797.90	$6,560.00
United Facility/Professional Facility Modifier Low / Median / High Price $17.27 / $17.27 / $39.72	Facility		$17.27	$17.27	$39.72
United Facility/Professional Professional Modifier Low / Median / High Price $10.36 / $10.85 / $36.15	Professional		$10.36	$10.85	$36.15
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $13.64 / $17.27 / $17.27	Professional		$13.64	$17.27	$17.27