Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.38 / $46.40 / $325.69	Facility		$14.38	$46.40	$325.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.07 / $18.92 / $92.46	Professional		$11.07	$18.92	$92.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.52 / $26.11 / $32.64	Professional		$16.52	$26.11	$32.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.38 / $25.17 / $145.25	Professional		$14.38	$25.17	$145.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.38 / $21.75 / $43.59	Facility		$14.38	$21.75	$43.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.63 / $14.38 / $36.36	Professional		$8.63	$14.38	$36.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $17.61 / $29.31 / $43.59	Facility		$17.61	$29.31	$43.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $17.28 / $29.31 / $38.79	Professional		$17.28	$29.31	$38.79
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $213.28 / $213.28 / $213.28	Facility		$213.28	$213.28	$213.28
United Facility/Professional Facility Modifier Low / Median / High Price $14.38 / $14.38 / $14.38	Facility		$14.38	$14.38	$14.38
United Facility/Professional Professional Modifier Low / Median / High Price $8.63 / $10.06 / $33.52	Professional		$8.63	$10.06	$33.52
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $11.36 / $14.38 / $14.38	Professional		$11.36	$14.38	$14.38