Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.41 / $24.71 / $113.09	Facility		$16.41	$24.71	$113.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.66 / $10.66 / $98.00	Professional		$10.66	$10.66	$98.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.11 / $25.46 / $31.82	Professional		$16.11	$25.46	$31.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.84 / $24.22 / $162.82	Professional		$13.84	$24.22	$162.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.84 / $22.21 / $68.95	Facility		$13.84	$22.21	$68.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.30 / $14.26 / $36.38	Professional		$8.30	$14.26	$36.38
Midlands Facility/Professional Facility Modifier Low / Median / High Price $16.94 / $28.18 / $43.39	Facility		$16.94	$28.18	$43.39
Midlands Facility/Professional Professional Modifier Low / Median / High Price $16.63 / $28.18 / $37.69	Professional		$16.63	$28.18	$37.69
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $309.27 / $309.27 / $309.27	Facility		$309.27	$309.27	$309.27
United Facility/Professional Facility Modifier Low / Median / High Price $13.84 / $13.84 / $31.83	Facility		$13.84	$13.84	$31.83
United Facility/Professional Professional Modifier Low / Median / High Price $8.30 / $11.06 / $33.51	Professional		$8.30	$11.06	$33.51
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $10.93 / $13.84 / $13.84	Professional		$10.93	$13.84	$13.84