Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $74.13 / $144.54	Facility		$13.80	$74.13	$144.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $12.88 / $72.44	Professional		$6.31	$12.88	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $17.38 / $21.38	Professional		$10.96	$17.38	$21.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $18.62 / $79.43	Professional		$9.12	$18.62	$79.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $22.91 / $81.28	Facility		$9.12	$22.91	$81.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $9.33 / $22.91	Professional		$5.37	$9.33	$22.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $11.75 / $134.90	Professional		$10.72	$11.75	$134.90
Midlands Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $10.96 / $10.96	Facility		$10.96	$10.96	$10.96
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $218.78 / $616.60	Facility		$87.10	$218.78	$616.60
United Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $9.12 / $19.95	Facility		$9.12	$9.12	$19.95
United Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $6.31 / $20.89	Professional		$5.37	$6.31	$20.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $9.12 / $9.12	Professional		$7.08	$9.12	$9.12