Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $38.02 / $169.82	Facility		$12.59	$38.02	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $15.14 / $69.18	Professional		$7.94	$15.14	$69.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $69.18 / $70.79	Facility		$67.61	$69.18	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $35.48 / $44.67	Professional		$26.92	$35.48	$44.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $26.30 / $75.86	Professional		$10.72	$26.30	$75.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $21.88 / $69.18	Facility		$10.72	$21.88	$69.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $12.88 / $38.02	Professional		$6.46	$12.88	$38.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $30.20	Professional		$12.88	$12.88	$30.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $70.79 / $70.79	Facility		$16.98	$70.79	$70.79
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $891.25 / $1,513.56	Facility		$537.03	$891.25	$1,513.56
United Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $10.72 / $23.99	Facility		$10.72	$10.72	$23.99
United Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $6.46 / $15.14	Professional		$6.46	$6.46	$15.14
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $10.72 / $10.72	Professional		$8.51	$10.72	$10.72