Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.37 / $8.99 / $34.97	Facility		$7.37	$8.99	$34.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.88 / $12.53 / $24.00	Professional		$3.88	$12.53	$24.00
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 $5.04 / $7.75 / $14.80	Professional		$5.04	$7.75	$14.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.04 / $6.22 / $16.78	Facility		$5.04	$6.22	$16.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.43 / $5.04 / $11.04	Professional		$4.43	$5.04	$11.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3.88 / $7.76 / $11.19	Facility		$3.88	$7.76	$11.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4.71 / $7.00 / $11.19	Professional		$4.71	$7.00	$11.19
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $871.92 / $9,154.57 / $15,812.41	Facility		$871.92	$9,154.57	$15,812.41
United Facility/Professional Facility Modifier Low / Median / High Price $7.56 / $7.56 / $7.56	Facility		$7.56	$7.56	$7.56
United Facility/Professional Professional Modifier Low / Median / High Price $4.43 / $5.04 / $8.85	Professional		$4.43	$5.04	$8.85
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $5.04 / $5.04	Professional		$3.98	$5.04	$5.04