Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.21 / $37.49 / $90.21	Facility		$9.21	$37.49	$90.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.65 / $8.02 / $38.84	Professional		$4.65	$8.02	$38.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.02 / $11.10 / $13.87	Professional		$7.02	$11.10	$13.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $6.04 / $10.57 / $25.63	Professional		$6.04	$10.57	$25.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.04 / $10.75 / $47.22	Facility		$6.04	$10.75	$47.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.62 / $6.22 / $16.63	Professional		$3.62	$6.22	$16.63
Midlands Facility/Professional Facility Modifier Low / Median / High Price $7.39 / $12.31 / $18.94	Facility		$7.39	$12.31	$18.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $7.26 / $12.31 / $17.28	Professional		$7.26	$12.31	$17.28
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $57.69 / $1,335.54 / $2,306.82	Facility		$57.69	$1,335.54	$2,306.82
United Facility/Professional Facility Modifier Low / Median / High Price $6.04 / $6.04 / $6.04	Facility		$6.04	$6.04	$6.04
United Facility/Professional Professional Modifier Low / Median / High Price $3.62 / $5.05 / $13.89	Professional		$3.62	$5.05	$13.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4.76 / $6.04 / $6.04	Professional		$4.76	$6.04	$6.04