Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.03 / $56.98 / $225.06	Facility		$13.03	$56.98	$225.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.22 / $22.25 / $62.00	Professional		$12.22	$22.25	$62.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $30.03 / $37.54	Professional		$19.00	$30.03	$37.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16.55 / $28.96 / $51.28	Professional		$16.55	$28.96	$51.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.55 / $21.52 / $78.61	Facility		$16.55	$21.52	$78.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $14.00 / $16.76 / $36.22	Professional		$14.00	$16.76	$36.22
Midlands Facility/Professional Facility Modifier Low / Median / High Price $14.69 / $30.35 / $43.59	Facility		$14.69	$30.35	$43.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $18.14 / $28.89 / $43.20	Professional		$18.14	$28.89	$43.20
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $744.50 / $6,013.17 / $10,386.45	Facility		$744.50	$6,013.17	$10,386.45
United Facility/Professional Facility Modifier Low / Median / High Price $24.83 / $24.83 / $24.83	Facility		$24.83	$24.83	$24.83
United Facility/Professional Professional Modifier Low / Median / High Price $14.00 / $16.55 / $33.50	Professional		$14.00	$16.55	$33.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $13.07 / $16.55 / $16.55	Professional		$13.07	$16.55	$16.55