Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $50.12 / $181.97	Facility		$18.20	$50.12	$181.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $20.89 / $83.18	Professional		$8.91	$20.89	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $22.91 / $28.18	Professional		$14.79	$22.91	$28.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $21.88 / $77.62	Professional		$12.02	$21.88	$77.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $18.62 / $58.88	Facility		$12.02	$18.62	$58.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $13.49 / $31.62	Professional		$7.24	$13.49	$31.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.79 / $15.49	Professional		$14.45	$14.79	$15.49
Midlands Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $14.79 / $14.79	Facility		$14.79	$14.79	$14.79
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $891.25 / $2,454.71	Facility		$199.53	$891.25	$2,454.71
United Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.02 / $26.92	Facility		$12.02	$12.02	$26.92
United Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $10.00 / $29.51	Professional		$7.24	$10.00	$29.51
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $12.02 / $12.02	Professional		$9.55	$12.02	$12.02