Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.55 / $43.19 / $168.77	Facility		$17.55	$43.19	$168.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.95 / $15.10 / $66.42	Professional		$7.95	$15.10	$66.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.98 / $18.93 / $23.66	Professional		$11.98	$18.93	$23.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $10.33 / $18.07 / $48.10	Professional		$10.33	$18.07	$48.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.33 / $17.32 / $58.00	Facility		$10.33	$17.32	$58.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.20 / $10.64 / $27.00	Professional		$6.20	$10.64	$27.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $12.65 / $21.06 / $32.38	Facility		$12.65	$21.06	$32.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $12.41 / $21.06 / $28.81	Professional		$12.41	$21.06	$28.81
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $183.37 / $697.98 / $1,205.58	Facility		$183.37	$697.98	$1,205.58
United Facility/Professional Professional Modifier Low / Median / High Price $6.20 / $8.11 / $25.03	Professional		$6.20	$8.11	$25.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $8.16 / $10.33 / $10.33	Professional		$8.16	$10.33	$10.33