Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $37.15	Facility		$16.98	$16.98	$37.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $17.78 / $10,471.29	Professional		$16.98	$17.78	$10,471.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $17.38 / $21.88	Professional		$16.98	$17.38	$21.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $19.95 / $33.88	Professional		$14.45	$19.95	$33.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $16.98 / $28.84	Facility		$14.45	$16.98	$28.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $18.62 / $4,897.79	Professional		$16.98	$18.62	$4,897.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $20.42 / $25.12	Professional		$19.05	$20.42	$25.12
Midlands Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $23.44 / $33.88	Professional		$19.05	$23.44	$33.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $30.20 / $36.31	Professional		$18.62	$30.20	$36.31
United Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Facility		$16.98	$16.98	$16.98
United Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $20.42	Professional		$16.98	$16.98	$20.42
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $18.62 / $18.62	Facility		$18.62	$18.62	$18.62
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $18.62 / $18.62	Professional		$14.79	$18.62	$18.62