Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.35 / $61.24 / $451.88	Facility		$9.35	$61.24	$451.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.68 / $11.44 / $68.64	Professional		$6.68	$11.44	$68.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.91 / $15.67 / $19.57	Professional		$9.91	$15.67	$19.57
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $8.68 / $15.19 / $48.16	Professional		$8.68	$15.19	$48.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.68 / $16.00 / $85.13	Facility		$8.68	$16.00	$85.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.21 / $8.68 / $22.65	Professional		$5.21	$8.68	$22.65
Midlands Facility/Professional Facility Modifier Low / Median / High Price $10.64 / $17.69 / $27.21	Facility		$10.64	$17.69	$27.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $10.42 / $17.69 / $24.89	Professional		$10.42	$17.69	$24.89
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $115.53 / $302.95 / $523.27	Facility		$115.53	$302.95	$523.27
United Facility/Professional Professional Modifier Low / Median / High Price $5.21 / $7.28 / $19.96	Professional		$5.21	$7.28	$19.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $6.86 / $8.68 / $8.68	Professional		$6.86	$8.68	$8.68