Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $23.44 / $57.54	Facility		$9.55	$23.44	$57.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $7.94 / $58.88	Professional		$5.01	$7.94	$58.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $17.38 / $21.38	Professional		$10.96	$17.38	$21.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $21.88 / $50.12	Professional		$8.91	$21.88	$50.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $13.18 / $28.18	Facility		$8.91	$13.18	$28.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $10.72 / $23.44	Professional		$5.37	$10.72	$23.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $10.96 / $11.48	Professional		$10.72	$10.96	$11.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $10.96 / $10.96	Facility		$10.96	$10.96	$10.96
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Facility		$194.98	$194.98	$194.98
United Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $8.91 / $19.50	Facility		$8.91	$8.91	$19.50
United Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $7.24 / $21.38	Professional		$5.37	$7.24	$21.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $8.91 / $8.91	Professional		$7.08	$8.91	$8.91