Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.09 / $33.09 / $52.61	Facility		$15.09	$33.09	$52.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.24 / $10.78 / $10.78	Professional		$9.24	$10.78	$10.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.11 / $25.46 / $31.82	Professional		$16.11	$25.46	$31.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.00 / $24.40 / $111.14	Professional		$14.00	$24.40	$111.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.00 / $18.57 / $52.82	Facility		$14.00	$18.57	$52.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.40 / $14.42 / $35.40	Professional		$8.40	$14.42	$35.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $16.80 / $27.52 / $37.69	Facility		$16.80	$27.52	$37.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $15.56 / $25.66 / $36.54	Professional		$15.56	$25.66	$36.54
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $143.21 / $143.21 / $143.21	Facility		$143.21	$143.21	$143.21
United Facility/Professional Facility Modifier Low / Median / High Price $21.00 / $21.00 / $21.00	Facility		$21.00	$21.00	$21.00
United Facility/Professional Professional Modifier Low / Median / High Price $8.40 / $8.74 / $28.79	Professional		$8.40	$8.74	$28.79
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $11.06 / $14.00 / $14.00	Professional		$11.06	$14.00	$14.00