Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.62 / $45.32 / $117.04	Facility		$28.62	$45.32	$117.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.91 / $22.25 / $62.00	Professional		$10.91	$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 $16.53 / $27.27 / $43.25	Professional		$16.53	$27.27	$43.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.53 / $21.33 / $43.59	Facility		$16.53	$21.33	$43.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $16.53 / $17.52 / $36.22	Professional		$16.53	$17.52	$36.22
Midlands Facility/Professional Facility Modifier Low / Median / High Price $14.69 / $30.32 / $43.59	Facility		$14.69	$30.32	$43.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $18.14 / $28.89 / $43.14	Professional		$18.14	$28.89	$43.14
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $750.16 / $6,135.03 / $10,596.88	Facility		$750.16	$6,135.03	$10,596.88
United Facility/Professional Professional Modifier Low / Median / High Price $16.53 / $16.53 / $33.50	Professional		$16.53	$16.53	$33.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $13.06 / $16.53 / $16.53	Professional		$13.06	$16.53	$16.53