Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $28.18 / $131.83	Facility		$12.02	$28.18	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $10.96 / $70.79	Professional		$7.94	$10.96	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $22.91 / $28.18	Professional		$14.79	$22.91	$28.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $21.88 / $91.20	Professional		$12.02	$21.88	$91.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $15.49 / $39.81	Facility		$12.02	$15.49	$39.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $14.45 / $31.62	Professional		$7.24	$14.45	$31.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $15.49 / $165.96	Professional		$14.45	$15.49	$165.96
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 $1,174.90 / $1,174.90 / $1,174.90	Facility		$1,174.90	$1,174.90	$1,174.90
United Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.02 / $26.30	Facility		$12.02	$12.02	$26.30
United Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $10.00 / $28.84	Professional		$7.24	$10.00	$28.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $12.02 / $12.02	Professional		$9.55	$12.02	$12.02