Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $27.54 / $109.65	Facility		$9.33	$27.54	$109.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $13.49 / $125.89	Professional		$7.08	$13.49	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $17.78 / $22.39	Professional		$11.48	$17.78	$22.39
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $16.98 / $60.26	Professional		$9.33	$16.98	$60.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $14.79 / $38.90	Facility		$9.33	$14.79	$38.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $9.33 / $24.55	Professional		$5.62	$9.33	$24.55
Midlands Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $11.48 / $12.30	Professional		$11.22	$11.48	$12.30
Midlands Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $11.48 / $11.48	Facility		$11.48	$11.48	$11.48
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Facility		$1,445.44	$1,445.44	$1,445.44
United Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $9.33 / $20.89	Facility		$9.33	$9.33	$20.89
United Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $7.94 / $22.91	Professional		$5.62	$7.94	$22.91
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $9.33 / $9.33	Professional		$7.41	$9.33	$9.33