Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $74.13 / $295.12	Facility		$9.55	$74.13	$295.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $12.02 / $83.18	Professional		$6.31	$12.02	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $15.85 / $19.95	Professional		$10.00	$15.85	$19.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $19.95 / $45.71	Professional		$8.13	$19.95	$45.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $19.05 / $93.33	Facility		$8.13	$19.05	$93.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $9.77 / $22.39	Professional		$4.90	$9.77	$22.39
Midlands Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $10.47 / $85.11	Professional		$9.77	$10.47	$85.11
Midlands Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Facility		$10.00	$10.00	$10.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $4,570.88 / $12,882.50	Facility		$1,148.15	$4,570.88	$12,882.50
United Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $8.13 / $18.20	Facility		$8.13	$8.13	$18.20
United Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $6.92 / $19.95	Professional		$4.90	$6.92	$19.95
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $8.13 / $8.13	Professional		$6.46	$8.13	$8.13