Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $39.81 / $977.24	Facility		$16.22	$39.81	$977.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $14.13 / $933.25	Professional		$8.91	$14.13	$933.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $28.18 / $35.48	Professional		$18.20	$28.18	$35.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $36.31 / $66.07	Professional		$15.14	$36.31	$66.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $19.50 / $46.77	Facility		$15.14	$19.50	$46.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $17.78 / $38.90	Professional		$8.91	$17.78	$38.90
Midlands Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $19.50	Professional		$18.20	$18.20	$19.50
Midlands Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.20 / $18.20	Facility		$18.20	$18.20	$18.20
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Facility		$288.40	$288.40	$288.40
United Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $15.14 / $33.11	Facility		$15.14	$15.14	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $12.59 / $36.31	Professional		$8.91	$12.59	$36.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $15.14 / $15.14	Professional		$11.75	$15.14	$15.14