Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.44 / $53.20 / $115.32	Facility		$8.44	$53.20	$115.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.45 / $8.31 / $38.00	Professional		$4.45	$8.31	$38.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $10.44 / $13.06	Professional		$6.61	$10.44	$13.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $5.78 / $10.11 / $30.21	Professional		$5.78	$10.11	$30.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.94 / $11.77 / $60.00	Facility		$6.94	$11.77	$60.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $5.78 / $15.09	Professional		$3.47	$5.78	$15.09
Midlands Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $11.77 / $18.12	Facility		$7.08	$11.77	$18.12
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6.95 / $11.77 / $16.57	Professional		$6.95	$11.77	$16.57
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $52.02 / $208.90 / $360.82	Facility		$52.02	$208.90	$360.82
United Facility/Professional Facility Modifier Low / Median / High Price $5.78 / $5.78 / $13.29	Facility		$5.78	$5.78	$13.29
United Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $4.84 / $13.29	Professional		$3.47	$4.84	$13.29
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $5.78 / $5.78	Professional		$4.57	$5.78	$5.78