Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $32.36 / $120.23	Facility		$10.47	$32.36	$120.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.02 / $95.50	Professional		$10.00	$12.02	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $26.30 / $32.36	Professional		$16.60	$26.30	$32.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $24.55 / $117.49	Professional		$13.49	$24.55	$117.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $17.78 / $47.86	Facility		$13.49	$17.78	$47.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $15.14 / $35.48	Professional		$8.13	$15.14	$35.48
Midlands Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.60 / $17.38	Professional		$16.22	$16.60	$17.38
Midlands Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $16.60 / $16.60	Facility		$16.60	$16.60	$16.60
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Facility		$104.71	$104.71	$104.71
United Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $13.49 / $30.20	Facility		$13.49	$13.49	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $11.48 / $31.62	Professional		$8.13	$11.48	$31.62
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $13.49 / $13.49	Professional		$10.72	$13.49	$13.49