Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.05 / $67.90 / $143.38	Facility		$20.05	$67.90	$143.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.21 / $11.59 / $40.47	Professional		$6.21	$11.59	$40.47
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 $8.61 / $15.07 / $23.67	Professional		$8.61	$15.07	$23.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.61 / $15.33 / $68.54	Facility		$8.61	$15.33	$68.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.61 / $9.24 / $18.87	Professional		$8.61	$9.24	$18.87
Midlands Facility/Professional Facility Modifier Low / Median / High Price $7.75 / $15.79 / $22.40	Facility		$7.75	$15.79	$22.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $9.57 / $15.24 / $22.40	Professional		$9.57	$15.24	$22.40
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,139.19 / $6,159.81 / $10,639.65	Facility		$1,139.19	$6,159.81	$10,639.65
United Facility/Professional Professional Modifier Low / Median / High Price $8.61 / $8.61 / $17.67	Professional		$8.61	$8.61	$17.67
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $6.80 / $8.61 / $8.61	Professional		$6.80	$8.61	$8.61