Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $64.57 / $177.83	Facility		$17.78	$64.57	$177.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $26.30 / $117.49	Professional		$11.48	$26.30	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $28.84 / $36.31	Professional		$18.62	$28.84	$36.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $37.15 / $66.07	Professional		$15.14	$37.15	$66.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $30.20 / $109.65	Facility		$15.14	$30.20	$109.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $20.89 / $38.90	Professional		$15.14	$20.89	$38.90
Midlands Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.62 / $19.50	Professional		$18.20	$18.62	$19.50
Midlands Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $18.62 / $18.62	Facility		$18.62	$18.62	$18.62
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $676.08 / $1,905.46	Facility		$275.42	$676.08	$1,905.46
United Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $15.14 / $33.11	Facility		$15.14	$15.14	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $15.14 / $34.67	Professional		$13.18	$15.14	$34.67
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.14 / $15.14	Professional		$12.02	$15.14	$15.14