Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $34.67 / $104.71	Facility		$13.80	$34.67	$104.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $24.55 / $117.49	Professional		$8.91	$24.55	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $24.55 / $30.90	Professional		$15.85	$24.55	$30.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $23.44 / $97.72	Professional		$12.88	$23.44	$97.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $19.95 / $40.74	Facility		$12.88	$19.95	$40.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $15.49 / $33.88	Professional		$7.76	$15.49	$33.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.85 / $16.60	Professional		$15.49	$15.85	$16.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $15.85 / $15.85	Facility		$15.85	$15.85	$15.85
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Facility		$147.91	$147.91	$147.91
United Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $12.88 / $28.18	Facility		$12.88	$12.88	$28.18
United Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $10.72 / $29.51	Professional		$7.76	$10.72	$29.51
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $12.88 / $12.88	Professional		$10.23	$12.88	$12.88