Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $371.54	Facility		$16.98	$16.98	$371.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $16.98 / $446.68	Professional		$14.13	$16.98	$446.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $17.78 / $18.62	Professional		$15.14	$17.78	$18.62
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $15.85 / $26.92	Professional		$14.79	$15.85	$26.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $19.05 / $26.30	Facility		$16.98	$19.05	$26.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $14.79 / $26.30	Professional		$14.79	$14.79	$26.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $17.78 / $20.89	Professional		$17.78	$17.78	$20.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $19.50 / $19.50	Professional		$17.78	$19.50	$19.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $26.30 / $31.62	Professional		$15.85	$26.30	$31.62
United Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $24.55 / $24.55	Facility		$24.55	$24.55	$24.55
United Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $14.79 / $18.20	Professional		$14.79	$14.79	$18.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $14.79 / $14.79	Professional		$11.75	$14.79	$14.79