Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.68 / $31.19 / $86.70	Facility		$13.68	$31.19	$86.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.16 / $18.68 / $84.81	Professional		$10.16	$18.68	$84.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.28 / $24.15 / $30.19	Professional		$15.28	$24.15	$30.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.19 / $23.08 / $85.88	Professional		$13.19	$23.08	$85.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.19 / $22.12 / $63.09	Facility		$13.19	$22.12	$63.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.91 / $13.19 / $34.43	Professional		$7.91	$13.19	$34.43
Midlands Facility/Professional Facility Modifier Low / Median / High Price $15.84 / $26.86 / $41.35	Facility		$15.84	$26.86	$41.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $15.83 / $25.58 / $35.47	Professional		$15.83	$25.58	$35.47
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $94.83 / $94.83 / $94.83	Facility		$94.83	$94.83	$94.83
United Facility/Professional Facility Modifier Low / Median / High Price $13.19 / $13.19 / $30.34	Facility		$13.19	$13.19	$30.34
United Facility/Professional Professional Modifier Low / Median / High Price $7.91 / $8.09 / $30.34	Professional		$7.91	$8.09	$30.34
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $10.42 / $13.19 / $13.19	Professional		$10.42	$13.19	$13.19