Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.58 / $39.07 / $84.66	Facility		$15.58	$39.07	$84.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.79 / $11.13 / $84.48	Professional		$5.79	$11.13	$84.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.93 / $26.76 / $33.46	Professional		$16.93	$26.76	$33.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $25.29 / $50.57	Professional		$14.45	$25.29	$50.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $21.59 / $61.86	Facility		$14.45	$21.59	$61.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.67 / $14.45 / $36.54	Professional		$8.67	$14.45	$36.54
Midlands Facility/Professional Facility Modifier Low / Median / High Price $15.77 / $26.50 / $45.30	Facility		$15.77	$26.50	$45.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $17.34 / $26.50 / $37.71	Professional		$17.34	$26.50	$37.71
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $67.27 / $67.27 / $67.27	Facility		$67.27	$67.27	$67.27
United Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $14.45 / $33.24	Facility		$14.45	$14.45	$33.24
United Facility/Professional Professional Modifier Low / Median / High Price $8.67 / $10.79 / $33.24	Professional		$8.67	$10.79	$33.24
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $11.42 / $14.45 / $14.45	Professional		$11.42	$14.45	$14.45