Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $53.70 / $120.23	Facility		$14.13	$53.70	$120.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $12.02 / $45.71	Professional		$6.03	$12.02	$45.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $16.60 / $20.89	Professional		$10.23	$16.60	$20.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $15.49 / $28.84	Professional		$8.71	$15.49	$28.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $15.85 / $69.18	Facility		$8.71	$15.85	$69.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $9.33 / $19.05	Professional		$7.76	$9.33	$19.05
Midlands Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $11.22 / $38.90	Professional		$7.76	$11.22	$38.90
Midlands Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $7.76 / $7.76	Facility		$7.76	$7.76	$7.76
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $3,715.35 / $10,471.29	Facility		$1,148.15	$3,715.35	$10,471.29
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 $7.59 / $8.71 / $17.78	Professional		$7.59	$8.71	$17.78
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $8.71 / $8.71	Professional		$6.76	$8.71	$8.71