Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $39.81 / $257.04	Facility		$17.78	$39.81	$257.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $22.39 / $131.83	Professional		$12.88	$22.39	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $34.67 / $42.66	Professional		$21.88	$34.67	$42.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $32.36 / $154.88	Professional		$19.50	$32.36	$154.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $22.91 / $48.98	Facility		$17.78	$22.91	$48.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $19.95 / $44.67	Professional		$10.72	$19.95	$44.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.88 / $22.91	Professional		$21.38	$21.88	$22.91
Midlands Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Facility		$21.88	$21.88	$21.88
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Facility		$389.05	$389.05	$389.05
United Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $17.78 / $39.81	Facility		$17.78	$17.78	$39.81
United Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $11.48 / $38.02	Professional		$10.72	$11.48	$38.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $17.78 / $17.78	Professional		$14.13	$17.78	$17.78