Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.11 / $86.94 / $154.88	Facility		$26.11	$86.94	$154.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.61 / $21.68 / $92.74	Professional		$11.61	$21.68	$92.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.35 / $27.42 / $34.27	Professional		$17.35	$27.42	$34.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.08 / $26.39 / $87.44	Professional		$15.08	$26.39	$87.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.08 / $29.32 / $100.00	Facility		$15.08	$29.32	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.05 / $15.08 / $39.36	Professional		$9.05	$15.08	$39.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $18.46 / $30.72 / $47.28	Facility		$18.46	$30.72	$47.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $18.11 / $30.72 / $43.18	Professional		$18.11	$30.72	$43.18
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $268.36 / $1,814.56 / $3,134.24	Facility		$268.36	$1,814.56	$3,134.24
United Facility/Professional Professional Modifier Low / Median / High Price $9.05 / $12.64 / $38.14	Professional		$9.05	$12.64	$38.14
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $11.91 / $15.08 / $15.08	Professional		$11.91	$15.08	$15.08