Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.15 / $258.06 / $609.96	Facility		$27.15	$258.06	$609.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.80 / $14.55 / $72.00	Professional		$9.80	$14.55	$72.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $20.14 / $37.86	Professional		$10.72	$20.14	$37.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $11.37 / $15.83 / $41.09	Professional		$11.37	$15.83	$41.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.22 / $19.48 / $62.57	Facility		$12.22	$19.48	$62.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.35 / $19.64 / $90.00	Professional		$12.35	$19.64	$90.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $17.82 / $20.14 / $25.88	Facility		$17.82	$20.14	$25.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $12.92 / $20.14 / $27.08	Professional		$12.92	$20.14	$27.08
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,656.59 / $3,340.26 / $7,038.41	Facility		$1,656.59	$3,340.26	$7,038.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $19.55 / $23.70	Professional		$10.96	$19.55	$23.70
United Facility/Professional Professional Modifier Low / Median / High Price $11.10 / $15.44 / $26.25	Professional		$11.10	$15.44	$26.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $14.22 / $18.00 / $21.20	Professional		$14.22	$18.00	$21.20