Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.89 / $90.88 / $165.31	Facility		$16.89	$90.88	$165.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.62 / $8.89 / $74.27	Professional		$7.62	$8.89	$74.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.22 / $20.89 / $26.11	Professional		$13.22	$20.89	$26.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $11.55 / $20.21 / $51.78	Professional		$11.55	$20.21	$51.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.55 / $19.69 / $61.13	Facility		$11.55	$19.69	$61.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.93 / $11.90 / $31.88	Professional		$6.93	$11.90	$31.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $14.15 / $23.52 / $36.21	Facility		$14.15	$23.52	$36.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $13.87 / $23.52 / $33.08	Professional		$13.87	$23.52	$33.08
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,332.35 / $8,024.61 / $13,860.63	Facility		$1,332.35	$8,024.61	$13,860.63
United Facility/Professional Professional Modifier Low / Median / High Price $6.93 / $9.68 / $26.57	Professional		$6.93	$9.68	$26.57
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $9.11 / $11.55 / $11.55	Professional		$9.11	$11.55	$11.55