Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $50.72 / $112.62	Facility		$15.14	$50.72	$112.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.73 / $10.34 / $46.00	Professional		$6.73	$10.34	$46.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.91 / $15.67 / $19.57	Professional		$9.91	$15.67	$19.57
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $8.74 / $15.30 / $34.96	Professional		$8.74	$15.30	$34.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.74 / $15.18 / $59.54	Facility		$8.74	$15.18	$59.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.24 / $8.74 / $22.00	Professional		$5.24	$8.74	$22.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $10.71 / $17.80 / $27.39	Facility		$10.71	$17.80	$27.39
Midlands Facility/Professional Professional Modifier Low / Median / High Price $10.50 / $17.80 / $24.38	Professional		$10.50	$17.80	$24.38
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 $5.24 / $5.83 / $20.10	Professional		$5.24	$5.83	$20.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $6.90 / $8.74 / $8.74	Professional		$6.90	$8.74	$8.74