Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $30.20 / $44.67	Facility		$12.02	$30.20	$44.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.88 / $25.12	Professional		$10.00	$12.88	$25.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $30.90 / $38.90	Professional		$19.50	$30.90	$38.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $28.84 / $45.71	Professional		$16.22	$28.84	$45.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $19.95 / $43.65	Facility		$16.22	$19.95	$43.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $16.22 / $35.48	Professional		$9.55	$16.22	$35.48
Midlands Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $19.50 / $20.89	Professional		$14.79	$19.50	$20.89
Midlands Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $14.79 / $14.79	Facility		$14.79	$14.79	$14.79
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $1,096.48 / $1,479.11	Facility		$380.19	$1,096.48	$1,479.11
United Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $16.22 / $35.48	Facility		$16.22	$16.22	$35.48
United Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $10.00 / $34.67	Professional		$9.55	$10.00	$34.67
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $16.22 / $16.22	Professional		$12.59	$16.22	$16.22