Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $27.00 / $93.10	Facility		$5.75	$27.00	$93.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.03 / $3.03 / $25.27	Professional		$3.03	$3.03	$25.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.54 / $7.18 / $8.98	Professional		$4.54	$7.18	$8.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3.93 / $6.88 / $37.00	Professional		$3.93	$6.88	$37.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.93 / $6.41 / $24.07	Facility		$3.93	$6.41	$24.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.93 / $5.25 / $10.26	Professional		$3.93	$5.25	$10.26
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4.80 / $8.02 / $12.32	Facility		$4.80	$8.02	$12.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4.73 / $8.02 / $10.86	Professional		$4.73	$8.02	$10.86
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $986.31 / $986.31 / $986.31	Facility		$986.31	$986.31	$986.31
United Facility/Professional Professional Modifier Low / Median / High Price $3.46 / $3.93 / $9.00	Professional		$3.46	$3.93	$9.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3.10 / $3.93 / $3.93	Professional		$3.10	$3.93	$3.93