Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $41.69 / $467.74	Facility		$8.71	$41.69	$467.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $11.75 / $91.20	Professional		$6.03	$11.75	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $16.60 / $20.89	Professional		$12.30	$16.60	$20.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $15.85 / $47.86	Professional		$8.71	$15.85	$47.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $14.45 / $85.11	Facility		$8.71	$14.45	$85.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $9.55 / $22.91	Professional		$5.25	$9.55	$22.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $10.72 / $10.72	Professional		$10.72	$10.72	$10.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $10.72 / $10.72	Facility		$10.72	$10.72	$10.72
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $181.97 / $512.86	Facility		$114.82	$181.97	$512.86
United Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $8.71 / $19.05	Facility		$8.71	$8.71	$19.05
United Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $7.24 / $20.89	Professional		$5.25	$7.24	$20.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $8.71 / $8.71	Professional		$6.92	$8.71	$8.71