Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.65 / $87.36 / $199.50	Facility		$20.65	$87.36	$199.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $14.05 / $99.40	Professional		$8.91	$14.05	$99.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.22 / $20.89 / $26.11	Professional		$13.22	$20.89	$26.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $11.57 / $20.25 / $53.04	Professional		$11.57	$20.25	$53.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.08 / $28.00 / $100.00	Facility		$13.08	$28.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.94 / $11.57 / $29.83	Professional		$6.94	$11.57	$29.83
Midlands Facility/Professional Facility Modifier Low / Median / High Price $13.08 / $21.76 / $36.27	Facility		$13.08	$21.76	$36.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $13.88 / $21.76 / $30.20	Professional		$13.88	$21.76	$30.20
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,125.98 / $18,114.15 / $31,288.07	Facility		$1,125.98	$18,114.15	$31,288.07
United Facility/Professional Professional Modifier Low / Median / High Price $6.94 / $8.72 / $26.61	Professional		$6.94	$8.72	$26.61
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $9.14 / $11.57 / $11.57	Professional		$9.14	$11.57	$11.57