Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.09 / $116.62 / $612.85	Facility		$15.09	$116.62	$612.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.51 / $13.06 / $66.30	Professional		$6.51	$13.06	$66.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.50 / $15.01 / $18.77	Professional		$9.50	$15.01	$18.77
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $8.46 / $14.81 / $45.01	Professional		$8.46	$14.81	$45.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.16 / $31.07 / $107.07	Facility		$10.16	$31.07	$107.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.08 / $8.46 / $23.35	Professional		$5.08	$8.46	$23.35
Midlands Facility/Professional Facility Modifier Low / Median / High Price $10.36 / $17.23 / $26.52	Facility		$10.36	$17.23	$26.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $10.16 / $17.23 / $24.38	Professional		$10.16	$17.23	$24.38
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,396.77 / $21,789.93 / $37,637.12	Facility		$2,396.77	$21,789.93	$37,637.12
United Facility/Professional Professional Modifier Low / Median / High Price $5.08 / $7.10 / $20.49	Professional		$5.08	$7.10	$20.49
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $6.68 / $8.46 / $8.46	Professional		$6.68	$8.46	$8.46