Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $28.84 / $123.03	Facility		$11.75	$28.84	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $10.96 / $87.10	Professional		$7.94	$10.96	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $21.88 / $27.54	Professional		$14.45	$21.88	$27.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $17.78 / $95.50	Professional		$11.75	$17.78	$95.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $15.14 / $31.62	Facility		$11.75	$15.14	$31.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $13.18 / $29.51	Professional		$5.89	$13.18	$29.51
Midlands Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.45 / $15.14	Professional		$14.13	$14.45	$15.14
Midlands Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $14.45 / $14.45	Facility		$14.45	$14.45	$14.45
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Facility		$144.54	$144.54	$144.54
United Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $11.75 / $26.30	Facility		$11.75	$11.75	$26.30
United Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $7.08 / $26.30	Professional		$5.62	$7.08	$26.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $11.75 / $11.75	Professional		$9.33	$11.75	$11.75