Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $24.55 / $112.20	Facility		$13.80	$24.55	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $15.85 / $223.87	Professional		$10.00	$15.85	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $26.92 / $33.88	Professional		$16.98	$26.92	$33.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $25.12 / $165.96	Professional		$15.14	$25.12	$165.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $18.20 / $66.07	Facility		$13.80	$18.20	$66.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $16.60 / $36.31	Professional		$8.32	$16.60	$36.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $16.98 / $17.78	Professional		$16.60	$16.98	$17.78
Midlands Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Facility		$16.98	$16.98	$16.98
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Facility		$309.03	$309.03	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $13.80 / $30.90	Facility		$13.80	$13.80	$30.90
United Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $10.96 / $33.88	Professional		$8.32	$10.96	$33.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $13.80 / $13.80	Professional		$10.96	$13.80	$13.80