Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $35.48 / $120.23	Facility		$13.18	$35.48	$120.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $19.95 / $100.00	Professional		$10.00	$19.95	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $25.70 / $31.62	Professional		$16.22	$25.70	$31.62
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $23.99 / $93.33	Professional		$13.18	$23.99	$93.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $20.42 / $60.26	Facility		$13.18	$20.42	$60.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $13.49 / $34.67	Professional		$7.94	$13.49	$34.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $16.22 / $16.98	Professional		$15.85	$16.22	$16.98
Midlands Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $16.22 / $16.22	Facility		$16.22	$16.22	$16.22
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Facility		$95.50	$95.50	$95.50
United Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $13.18 / $28.84	Facility		$13.18	$13.18	$28.84
United Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $10.96 / $30.20	Professional		$7.94	$10.96	$30.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $13.18 / $13.18	Professional		$10.47	$13.18	$13.18