Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.92 / $47.53 / $423.10	Facility		$21.92	$47.53	$423.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.71 / $11.54 / $84.00	Professional		$6.71	$11.54	$84.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.93 / $26.76 / $33.46	Professional		$16.93	$26.76	$33.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.99 / $26.23 / $54.89	Professional		$14.99	$26.23	$54.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.99 / $25.14 / $72.78	Facility		$14.99	$25.14	$72.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.99 / $15.44 / $41.01	Professional		$8.99	$15.44	$41.01
Midlands Facility/Professional Facility Modifier Low / Median / High Price $18.36 / $30.52 / $46.99	Facility		$18.36	$30.52	$46.99
Midlands Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $30.52 / $42.95	Professional		$18.00	$30.52	$42.95
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $285.93 / $285.93 / $285.93	Facility		$285.93	$285.93	$285.93
United Facility/Professional Professional Modifier Low / Median / High Price $8.99 / $12.57 / $36.29	Professional		$8.99	$12.57	$36.29
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $11.84 / $14.99 / $14.99	Professional		$11.84	$14.99	$14.99