Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.72 / $41.60 / $95.21	Facility		$7.72	$41.60	$95.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.81 / $9.00 / $31.83	Professional		$3.81	$9.00	$31.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.78 / $9.14 / $11.42	Professional		$5.78	$9.14	$11.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4.95 / $8.66 / $18.53	Professional		$4.95	$8.66	$18.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.95 / $8.43 / $24.25	Facility		$4.95	$8.43	$24.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.97 / $4.95 / $12.52	Professional		$2.97	$4.95	$12.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $6.06 / $10.08 / $15.52	Facility		$6.06	$10.08	$15.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5.95 / $10.08 / $14.26	Professional		$5.95	$10.08	$14.26
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $699.58 / $6,968.41 / $12,036.37	Facility		$699.58	$6,968.41	$12,036.37
United Facility/Professional Professional Modifier Low / Median / High Price $2.97 / $4.15 / $11.99	Professional		$2.97	$4.15	$11.99
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3.91 / $4.95 / $4.95	Professional		$3.91	$4.95	$4.95