Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $85.11 / $912.01	Facility		$19.50	$85.11	$912.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $95.50 / $660.69	Professional		$12.88	$95.50	$660.69
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 $17.78 / $34.67 / $79.43	Professional		$17.78	$34.67	$79.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $24.55 / $70.79	Facility		$17.78	$24.55	$70.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $18.62 / $44.67	Professional		$10.72	$18.62	$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 $181.97 / $181.97 / $181.97	Facility		$181.97	$181.97	$181.97
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 / $12.02 / $39.81	Professional		$10.72	$12.02	$39.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $17.78 / $17.78	Professional		$14.13	$17.78	$17.78