Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $97.72 / $616.60	Facility		$12.88	$97.72	$616.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $13.18 / $79.43	Professional		$6.46	$13.18	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $15.85 / $19.95	Professional		$11.75	$15.85	$19.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $15.14 / $44.67	Professional		$8.51	$15.14	$44.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $33.88 / $114.82	Facility		$10.23	$33.88	$114.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $10.23 / $23.44	Professional		$5.13	$10.23	$23.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $10.23 / $10.47	Professional		$10.23	$10.23	$10.47
Midlands Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $10.47 / $10.47	Facility		$10.47	$10.47	$10.47
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $13,182.57 / $37,153.52	Facility		$1,621.81	$13,182.57	$37,153.52
United Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $8.51 / $18.62	Facility		$8.51	$8.51	$18.62
United Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $7.08 / $20.42	Professional		$5.13	$7.08	$20.42
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $8.51 / $8.51	Professional		$6.61	$8.51	$8.51