Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.89 / $34.82 / $117.78	Facility		$13.89	$34.82	$117.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.50 / $9.92 / $16.95	Professional		$8.50	$9.92	$16.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.87 / $23.50 / $29.38	Professional		$14.87	$23.50	$29.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $22.54 / $103.57	Professional		$12.88	$22.54	$103.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $21.60 / $61.86	Facility		$12.88	$21.60	$61.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.73 / $13.27 / $35.47	Professional		$7.73	$13.27	$35.47
Midlands Facility/Professional Facility Modifier Low / Median / High Price $15.78 / $26.23 / $40.38	Facility		$15.78	$26.23	$40.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $15.47 / $26.23 / $36.92	Professional		$15.47	$26.23	$36.92
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $824.40 / $824.40 / $824.40	Facility		$824.40	$824.40	$824.40
United Facility/Professional Professional Modifier Low / Median / High Price $7.73 / $10.52 / $29.62	Professional		$7.73	$10.52	$29.62
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $10.18 / $12.88 / $12.88	Professional		$10.18	$12.88	$12.88