Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $79.88 / $927.23	Facility		$13.80	$79.88	$927.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.44 / $8.57 / $23.50	Professional		$3.44	$8.57	$23.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.11 / $6.29 / $6.48	Facility		$6.11	$6.29	$6.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.50 / $1.88 / $9.06	Professional		$1.50	$1.88	$9.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $5.43 / $10.00 / $16.39	Professional		$5.43	$10.00	$16.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.83 / $12.83 / $57.82	Facility		$4.83	$12.83	$57.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.80 / $3.00 / $7.83	Professional		$1.80	$3.00	$7.83
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2.70 / $5.00 / $12.73	Facility		$2.70	$5.00	$12.73
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3.30 / $5.00 / $10.28	Professional		$3.30	$5.00	$10.28
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $757.70 / $11,053.41 / $19,092.28	Facility		$757.70	$11,053.41	$19,092.28
United Facility/Professional Professional Modifier Low / Median / High Price $1.80 / $3.00 / $3.15	Professional		$1.80	$3.00	$3.15
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $7.18 / $9.09 / $9.09	Professional		$7.18	$9.09	$9.09