Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $53.70 / $380.19	Facility		$21.38	$53.70	$380.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $30.20 / $194.98	Professional		$14.13	$30.20	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $38.02 / $47.86	Professional		$23.99	$38.02	$47.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $34.67 / $275.42	Professional		$19.50	$34.67	$275.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $25.70 / $61.66	Facility		$19.50	$25.70	$61.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $21.88 / $51.29	Professional		$11.75	$21.88	$51.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $23.99 / $25.12	Professional		$23.44	$23.99	$25.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $23.99	Facility		$23.99	$23.99	$23.99
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Facility		$354.81	$354.81	$354.81
United Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $19.50 / $43.65	Facility		$19.50	$19.50	$43.65
United Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $16.60 / $47.86	Professional		$11.75	$16.60	$47.86
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $19.50 / $19.50	Professional		$15.49	$19.50	$19.50