Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.52 / $42.75 / $84.14	Facility		$10.52	$42.75	$84.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.54 / $10.16 / $80.95	Professional		$5.54	$10.16	$80.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.26 / $13.06 / $16.32	Professional		$8.26	$13.06	$16.32
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $7.20 / $12.60 / $26.94	Professional		$7.20	$12.60	$26.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.20 / $12.28 / $39.07	Facility		$7.20	$12.28	$39.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.32 / $7.20 / $19.00	Professional		$4.32	$7.20	$19.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $8.82 / $14.66 / $22.57	Facility		$8.82	$14.66	$22.57
Midlands Facility/Professional Professional Modifier Low / Median / High Price $8.64 / $14.66 / $21.05	Professional		$8.64	$14.66	$21.05
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $491.01 / $7,866.08 / $13,586.91	Facility		$491.01	$7,866.08	$13,586.91
United Facility/Professional Professional Modifier Low / Median / High Price $4.32 / $6.04 / $17.44	Professional		$4.32	$6.04	$17.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5.69 / $7.20 / $7.20	Professional		$5.69	$7.20	$7.20