Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $38.02 / $57.54	Facility		$15.14	$38.02	$57.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $16.98 / $30.90	Professional		$14.13	$16.98	$30.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $47.86	Professional		$38.90	$38.90	$47.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $48.98 / $100.00	Professional		$19.95	$48.98	$100.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $28.18 / $63.10	Facility		$19.95	$28.18	$63.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $26.30 / $112.20	Professional		$12.02	$26.30	$112.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $23.99 / $23.99	Professional		$23.99	$23.99	$23.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $21.88 / $35.48	Professional		$19.50	$21.88	$35.48
United Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $45.71	Facility		$19.95	$19.95	$45.71
United Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.30 / $54.95	Professional		$12.02	$12.30	$54.95
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Professional		$19.95	$19.95	$19.95