Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.13 / $37.76 / $97.63	Facility		$6.13	$37.76	$97.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.03 / $5.21 / $25.00	Professional		$3.03	$5.21	$25.00
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 / $17.50	Professional		$3.93	$6.88	$17.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.72 / $8.14 / $52.15	Facility		$4.72	$8.14	$52.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.93 / $5.25 / $10.08	Professional		$3.93	$5.25	$10.08
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 $883.90 / $5,304.09 / $9,161.61	Facility		$883.90	$5,304.09	$9,161.61
United Facility/Professional Professional Modifier Low / Median / High Price $3.44 / $3.93 / $8.60	Professional		$3.44	$3.93	$8.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3.10 / $3.93 / $3.93	Professional		$3.10	$3.93	$3.93