Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.90 / $44.80 / $91.20	Facility		$7.90	$44.80	$91.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.99 / $7.47 / $59.17	Professional		$3.99	$7.47	$59.17
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 $5.18 / $9.07 / $22.55	Professional		$5.18	$9.07	$22.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.00 / $10.99 / $65.76	Facility		$6.00	$10.99	$65.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.11 / $5.18 / $13.30	Professional		$3.11	$5.18	$13.30
Midlands Facility/Professional Facility Modifier Low / Median / High Price $6.34 / $10.55 / $16.23	Facility		$6.34	$10.55	$16.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6.22 / $10.55 / $14.83	Professional		$6.22	$10.55	$14.83
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $70.09 / $307.29 / $530.77	Facility		$70.09	$307.29	$530.77
United Facility/Professional Professional Modifier Low / Median / High Price $3.11 / $4.34 / $11.91	Professional		$3.11	$4.34	$11.91
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4.09 / $5.18 / $5.18	Professional		$4.09	$5.18	$5.18