Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.94 / $54.48 / $112.73	Facility		$18.94	$54.48	$112.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.97 / $17.03 / $81.20	Professional		$9.97	$17.03	$81.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.87 / $23.50 / $29.38	Professional		$14.87	$23.50	$29.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.95 / $22.66 / $60.62	Professional		$12.95	$22.66	$60.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.95 / $19.89 / $45.76	Facility		$12.95	$19.89	$45.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.77 / $12.95 / $35.47	Professional		$7.77	$12.95	$35.47
Midlands Facility/Professional Facility Modifier Low / Median / High Price $15.86 / $26.39 / $40.60	Facility		$15.86	$26.39	$40.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $15.55 / $26.39 / $37.29	Professional		$15.55	$26.39	$37.29
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $213.65 / $1,563.73 / $2,700.97	Facility		$213.65	$1,563.73	$2,700.97
United Facility/Professional Professional Modifier Low / Median / High Price $7.77 / $8.63 / $31.37	Professional		$7.77	$8.63	$31.37
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $12.95 / $12.95	Professional		$10.23	$12.95	$12.95