Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.52 / $45.13 / $80.06	Facility		$8.52	$45.13	$80.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.87 / $9.00 / $32.28	Professional		$3.87	$9.00	$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 / $8.78 / $30.08	Professional		$5.01	$8.78	$30.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $8.94 / $39.08	Facility		$5.01	$8.94	$39.08
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 $970.48 / $3,224.26 / $5,569.11	Facility		$970.48	$3,224.26	$5,569.11
United Facility/Professional Professional Modifier Low / Median / High Price $3.01 / $3.01 / $11.55	Professional		$3.01	$3.01	$11.55
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3.97 / $5.01 / $5.01	Professional		$3.97	$5.01	$5.01