Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.79 / $57.86 / $124.74	Facility		$15.79	$57.86	$124.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.06 / $10.57 / $57.85	Professional		$9.06	$10.57	$57.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.69 / $24.81 / $31.01	Professional		$15.69	$24.81	$31.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.73 / $20.60 / $47.99	Professional		$13.73	$20.60	$47.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.73 / $17.72 / $44.81	Facility		$13.73	$17.72	$44.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.63 / $16.48 / $31.58	Professional		$7.63	$16.48	$31.58
Midlands Facility/Professional Facility Modifier Low / Median / High Price $10.36 / $23.13 / $35.19	Facility		$10.36	$23.13	$35.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $13.73 / $24.00 / $35.19	Professional		$13.73	$24.00	$35.19
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $481.74 / $5,602.91 / $9,677.75	Facility		$481.74	$5,602.91	$9,677.75
United Facility/Professional Professional Modifier Low / Median / High Price $7.42 / $8.24 / $29.93	Professional		$7.42	$8.24	$29.93
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $10.85 / $13.73 / $13.73	Professional		$10.85	$13.73	$13.73