Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.21 / $46.05 / $98.12	Facility		$11.21	$46.05	$98.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.98 / $9.22 / $41.00	Professional		$4.98	$9.22	$41.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.43 / $11.75 / $14.69	Professional		$7.43	$11.75	$14.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $6.47 / $11.32 / $24.46	Professional		$6.47	$11.32	$24.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.47 / $13.00 / $55.48	Facility		$6.47	$13.00	$55.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.88 / $6.47 / $16.89	Professional		$3.88	$6.47	$16.89
Midlands Facility/Professional Facility Modifier Low / Median / High Price $7.93 / $13.18 / $20.28	Facility		$7.93	$13.18	$20.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $7.77 / $13.18 / $18.54	Professional		$7.77	$13.18	$18.54
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $71.59 / $1,168.70 / $2,018.66	Facility		$71.59	$1,168.70	$2,018.66
United Facility/Professional Professional Modifier Low / Median / High Price $3.88 / $5.43 / $14.88	Professional		$3.88	$5.43	$14.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5.11 / $6.47 / $6.47	Professional		$5.11	$6.47	$6.47