Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.86 / $47.37 / $608.04	Facility		$8.86	$47.37	$608.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.94 / $7.25 / $56.32	Professional		$3.94	$7.25	$56.32
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 $5.12 / $8.96 / $22.12	Professional		$5.12	$8.96	$22.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.12 / $10.36 / $41.96	Facility		$5.12	$10.36	$41.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.07 / $5.12 / $13.30	Professional		$3.07	$5.12	$13.30
Midlands Facility/Professional Facility Modifier Low / Median / High Price $6.27 / $10.44 / $16.05	Facility		$6.27	$10.44	$16.05
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6.15 / $10.44 / $14.68	Professional		$6.15	$10.44	$14.68
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $354.36 / $4,296.10 / $7,420.55	Facility		$354.36	$4,296.10	$7,420.55
United Facility/Professional Professional Modifier Low / Median / High Price $3.07 / $3.07 / $11.78	Professional		$3.07	$3.07	$11.78
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4.04 / $5.12 / $5.12	Professional		$4.04	$5.12	$5.12