Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.90 / $64.26 / $183.14	Facility		$15.90	$64.26	$183.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.16 / $17.68 / $94.00	Professional		$7.16	$17.68	$94.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.74 / $16.97 / $21.22	Professional		$10.74	$16.97	$21.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $9.30 / $16.28 / $34.79	Professional		$9.30	$16.28	$34.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.30 / $15.86 / $52.32	Facility		$9.30	$15.86	$52.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.58 / $9.30 / $25.49	Professional		$5.58	$9.30	$25.49
Midlands Facility/Professional Facility Modifier Low / Median / High Price $11.39 / $18.96 / $29.16	Facility		$11.39	$18.96	$29.16
Midlands Facility/Professional Professional Modifier Low / Median / High Price $11.18 / $18.96 / $26.63	Professional		$11.18	$18.96	$26.63
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $186.08 / $2,039.93 / $3,523.49	Facility		$186.08	$2,039.93	$3,523.49
United Facility/Professional Professional Modifier Low / Median / High Price $5.58 / $7.79 / $41.92	Professional		$5.58	$7.79	$41.92
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $7.35 / $9.30 / $9.30	Professional		$7.35	$9.30	$9.30