Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $26.92 / $128.82	Facility		$7.59	$26.92	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $8.91 / $19.05	Professional		$3.02	$8.91	$19.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.17 / $6.31 / $6.46	Facility		$6.17	$6.31	$6.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.51 / $1.86 / $8.91	Professional		$1.51	$1.86	$8.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $11.75 / $33.11	Professional		$7.24	$11.75	$33.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.07 / $8.71 / $38.90	Facility		$4.07	$8.71	$38.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.58 / $3.98 / $10.72	Professional		$1.58	$3.98	$10.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $8.91 / $10.72	Professional		$3.98	$8.91	$10.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $6.46 / $6.46	Facility		$6.46	$6.46	$6.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $10.23 / $10.23	Professional		$10.23	$10.23	$10.23
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $1,023.29 / $1,737.80	Facility		$20.89	$1,023.29	$1,737.80
United Facility/Professional Facility Modifier Low / Median / High Price $2.88 / $2.88 / $4.68	Facility		$2.88	$2.88	$4.68
United Facility/Professional Professional Modifier Low / Median / High Price $1.58 / $3.02 / $5.75	Professional		$1.58	$3.02	$5.75
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $3.39 / $3.39	Professional		$2.69	$3.39	$3.39