Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.81 / $86.00 / $573.29	Facility		$13.81	$86.00	$573.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.27 / $12.29 / $60.70	Professional		$7.27	$12.29	$60.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.74 / $16.97 / $21.22	Professional		$10.74	$16.97	$21.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $9.44 / $16.52 / $50.57	Professional		$9.44	$16.52	$50.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.44 / $16.11 / $90.10	Facility		$9.44	$16.11	$90.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.66 / $9.44 / $26.05	Professional		$5.66	$9.44	$26.05
Midlands Facility/Professional Facility Modifier Low / Median / High Price $11.57 / $19.23 / $29.59	Facility		$11.57	$19.23	$29.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $11.33 / $19.23 / $27.05	Professional		$11.33	$19.23	$27.05
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $870.35 / $870.35 / $870.35	Facility		$870.35	$870.35	$870.35
United Facility/Professional Professional Modifier Low / Median / High Price $5.66 / $5.78 / $23.87	Professional		$5.66	$5.78	$23.87
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $7.46 / $9.44 / $9.44	Professional		$7.46	$9.44	$9.44