Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.38 / $46.40 / $105.61	Facility		$8.38	$46.40	$105.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.87 / $7.39 / $32.28	Professional		$3.87	$7.39	$32.28
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 $5.01 / $8.27 / $25.68	Professional		$5.01	$8.27	$25.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $8.56 / $43.28	Facility		$5.01	$8.56	$43.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.01 / $5.01 / $13.10	Professional		$3.01	$5.01	$13.10
Midlands Facility/Professional Facility Modifier Low / Median / High Price $6.15 / $10.21 / $15.74	Facility		$6.15	$10.21	$15.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $10.21 / $14.36	Professional		$6.03	$10.21	$14.36
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $999.83 / $4,283.14 / $7,398.13	Facility		$999.83	$4,283.14	$7,398.13
United Facility/Professional Professional Modifier Low / Median / High Price $3.01 / $3.34 / $12.14	Professional		$3.01	$3.34	$12.14
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3.97 / $5.01 / $5.01	Professional		$3.97	$5.01	$5.01