Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.45 / $87.55 / $321.80	Facility		$12.45	$87.55	$321.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.29 / $10.74 / $61.41	Professional		$6.29	$10.74	$61.41
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 $8.17 / $14.30 / $38.10	Professional		$8.17	$14.30	$38.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.17 / $18.79 / $88.60	Facility		$8.17	$18.79	$88.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $8.17 / $22.55	Professional		$4.90	$8.17	$22.55
Midlands Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $16.64 / $25.61	Facility		$10.00	$16.64	$25.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $9.81 / $16.64 / $23.39	Professional		$9.81	$16.64	$23.39
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,058.66 / $7,591.87 / $13,113.19	Facility		$1,058.66	$7,591.87	$13,113.19
United Facility/Professional Facility Modifier Low / Median / High Price $8.17 / $8.17 / $8.17	Facility		$8.17	$8.17	$8.17
United Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $6.85 / $19.79	Professional		$4.90	$6.85	$19.79
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $6.45 / $8.17 / $8.17	Professional		$6.45	$8.17	$8.17