Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.12 / $69.00 / $108.96	Facility		$11.12	$69.00	$108.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $9.15 / $58.80	Professional		$5.01	$9.15	$58.80
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 $6.51 / $11.39 / $24.37	Professional		$6.51	$11.39	$24.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.31 / $13.24 / $72.75	Facility		$7.31	$13.24	$72.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.91 / $6.51 / $16.98	Professional		$3.91	$6.51	$16.98
Midlands Facility/Professional Facility Modifier Low / Median / High Price $7.97 / $13.24 / $20.41	Facility		$7.97	$13.24	$20.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $7.82 / $13.24 / $18.64	Professional		$7.82	$13.24	$18.64
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $61.60 / $1,237.02 / $2,136.66	Facility		$61.60	$1,237.02	$2,136.66
United Facility/Professional Professional Modifier Low / Median / High Price $3.91 / $5.46 / $15.76	Professional		$3.91	$5.46	$15.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5.14 / $6.51 / $6.51	Professional		$5.14	$6.51	$6.51