Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $60.26 / $114.82	Facility		$10.00	$60.26	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $10.72 / $53.70	Professional		$5.01	$10.72	$53.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $13.18 / $16.22	Professional		$8.13	$13.18	$16.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $16.22 / $39.81	Professional		$6.76	$16.22	$39.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $18.20 / $70.79	Facility		$6.76	$18.20	$70.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $6.92 / $17.38	Professional		$3.98	$6.92	$17.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $8.13 / $8.71	Professional		$8.13	$8.13	$8.71
Midlands Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $8.13 / $8.13	Facility		$8.13	$8.13	$8.13
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $3,715.35 / $10,471.29	Facility		$446.68	$3,715.35	$10,471.29
United Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $6.76 / $14.79	Facility		$6.76	$6.76	$14.79
United Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $5.62 / $16.22	Professional		$3.98	$5.62	$16.22
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $6.76 / $6.76	Professional		$5.25	$6.76	$6.76