Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $60.26 / $138.04	Facility		$14.45	$60.26	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $20.42 / $77.62	Professional		$10.00	$20.42	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $27.54 / $34.67	Professional		$17.78	$27.54	$34.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $26.30 / $120.23	Professional		$14.45	$26.30	$120.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $22.39 / $69.18	Facility		$14.45	$22.39	$69.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $17.38 / $37.15	Professional		$8.71	$17.38	$37.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.78 / $18.62	Professional		$17.38	$17.78	$18.62
Midlands Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $17.78 / $17.78	Facility		$17.78	$17.78	$17.78
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Facility		$457.09	$457.09	$457.09
United Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $14.45 / $31.62	Facility		$14.45	$14.45	$31.62
United Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $12.02 / $34.67	Professional		$8.71	$12.02	$34.67
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $14.45 / $14.45	Professional		$11.48	$14.45	$14.45