Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.72 / $58.21 / $102.72	Facility		$9.72	$58.21	$102.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.99 / $9.15 / $44.88	Professional		$4.99	$9.15	$44.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.43 / $11.75 / $14.69	Professional		$7.43	$11.75	$14.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $6.48 / $11.34 / $38.96	Professional		$6.48	$11.34	$38.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.48 / $12.18 / $100.00	Facility		$6.48	$12.18	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $6.48 / $16.91	Professional		$3.89	$6.48	$16.91
Midlands Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $13.19 / $20.30	Facility		$7.94	$13.19	$20.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $7.78 / $13.19 / $18.55	Professional		$7.78	$13.19	$18.55
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,208.75 / $11,196.16 / $19,338.80	Facility		$1,208.75	$11,196.16	$19,338.80
United Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $5.44 / $15.70	Professional		$3.89	$5.44	$15.70
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5.12 / $6.48 / $6.48	Professional		$5.12	$6.48	$6.48