Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.51 / $38.00 / $274.50	Facility		$17.51	$38.00	$274.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.91 / $9.22 / $70.00	Professional		$7.91	$9.22	$70.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.63 / $21.54 / $26.93	Professional		$13.63	$21.54	$26.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $11.98 / $20.97 / $80.83	Professional		$11.98	$20.97	$80.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.98 / $20.11 / $58.23	Facility		$11.98	$20.11	$58.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.19 / $12.34 / $33.06	Professional		$7.19	$12.34	$33.06
Midlands Facility/Professional Facility Modifier Low / Median / High Price $14.69 / $24.43 / $37.56	Facility		$14.69	$24.43	$37.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $14.39 / $24.43 / $34.36	Professional		$14.39	$24.43	$34.36
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,162.36 / $1,162.36 / $1,162.36	Facility		$1,162.36	$1,162.36	$1,162.36
United Facility/Professional Facility Modifier Low / Median / High Price $11.98 / $11.98 / $27.55	Facility		$11.98	$11.98	$27.55
United Facility/Professional Professional Modifier Low / Median / High Price $7.19 / $10.06 / $29.04	Professional		$7.19	$10.06	$29.04
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $9.46 / $11.98 / $11.98	Professional		$9.46	$11.98	$11.98