Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $45.71 / $186.21	Facility		$16.22	$45.71	$186.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $15.85 / $74.13	Professional		$7.94	$15.85	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $20.89 / $25.70	Professional		$13.18	$20.89	$25.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $19.50 / $47.86	Professional		$10.72	$19.50	$47.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $16.60 / $33.88	Facility		$10.72	$16.60	$33.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $12.02 / $28.18	Professional		$6.46	$12.02	$28.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.80 / $13.80	Professional		$13.18	$13.80	$13.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $13.18 / $13.18	Facility		$13.18	$13.18	$13.18
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $199.53 / $562.34	Facility		$131.83	$199.53	$562.34
United Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $10.72 / $23.99	Facility		$10.72	$10.72	$23.99
United Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $8.91 / $26.30	Professional		$6.46	$8.91	$26.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $10.72 / $10.72	Professional		$8.51	$10.72	$10.72