Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.80 / $71.90 / $124.10	Facility		$16.80	$71.90	$124.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.48 / $17.00 / $71.28	Professional		$7.48	$17.00	$71.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.15 / $17.63 / $22.03	Professional		$11.15	$17.63	$22.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $9.71 / $16.98 / $41.09	Professional		$9.71	$16.98	$41.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.86 / $20.25 / $97.60	Facility		$9.86	$20.25	$97.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.83 / $9.71 / $25.34	Professional		$5.83	$9.71	$25.34
Midlands Facility/Professional Facility Modifier Low / Median / High Price $11.89 / $19.78 / $30.44	Facility		$11.89	$19.78	$30.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $11.66 / $19.78 / $27.80	Professional		$11.66	$19.78	$27.80
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $392.11 / $2,301.77 / $3,975.77	Facility		$392.11	$2,301.77	$3,975.77
United Facility/Professional Professional Modifier Low / Median / High Price $5.83 / $8.14 / $23.52	Professional		$5.83	$8.14	$23.52
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $7.67 / $9.71 / $9.71	Professional		$7.67	$9.71	$9.71