Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.31 / $38.90 / $95.50	Facility		$6.31	$38.90	$95.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $9.12 / $34.67	Professional		$3.02	$9.12	$34.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $9.55 / $12.02	Professional		$7.24	$9.55	$12.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $11.22 / $31.62	Professional		$4.90	$11.22	$31.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.90 / $7.59 / $15.49	Facility		$4.90	$7.59	$15.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $5.89 / $12.59	Professional		$2.95	$5.89	$12.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $5.89 / $6.03	Professional		$5.89	$5.89	$6.03
Midlands Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $6.03 / $6.03	Facility		$6.03	$6.03	$6.03
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $4,265.80 / $11,748.98	Facility		$724.44	$4,265.80	$11,748.98
United Facility/Professional Facility Modifier Low / Median / High Price $4.90 / $4.90 / $10.96	Facility		$4.90	$4.90	$10.96
United Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $4.17 / $12.02	Professional		$2.95	$4.17	$12.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $4.90 / $4.90	Professional		$3.89	$4.90	$4.90