Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $48.98 / $107.15	Facility		$12.88	$48.98	$107.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $18.20 / $77.62	Professional		$8.91	$18.20	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $22.91 / $28.18	Professional		$14.79	$22.91	$28.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $29.51 / $67.61	Professional		$12.02	$29.51	$67.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $20.89 / $60.26	Facility		$12.02	$20.89	$60.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $13.49 / $31.62	Professional		$7.24	$13.49	$31.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.79 / $15.49	Professional		$14.45	$14.79	$15.49
Midlands Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $14.79 / $14.79	Facility		$14.79	$14.79	$14.79
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $199.53 / $275.42	Facility		$38.90	$199.53	$275.42
United Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.02 / $26.92	Facility		$12.02	$12.02	$26.92
United Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $10.23 / $29.51	Professional		$7.24	$10.23	$29.51
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $12.02 / $12.02	Professional		$9.55	$12.02	$12.02