Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.61 / $63.24 / $118.45	Facility		$11.61	$63.24	$118.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.16 / $9.49 / $54.00	Professional		$5.16	$9.49	$54.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.85 / $12.40 / $15.50	Professional		$7.85	$12.40	$15.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $6.70 / $11.73 / $35.00	Professional		$6.70	$11.73	$35.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.03 / $17.86 / $74.80	Facility		$8.03	$17.86	$74.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.01 / $6.70 / $17.48	Professional		$4.01	$6.70	$17.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $8.19 / $13.64 / $21.00	Facility		$8.19	$13.64	$21.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $8.05 / $13.64 / $19.19	Professional		$8.05	$13.64	$19.19
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $448.62 / $6,173.66 / $10,663.58	Facility		$448.62	$6,173.66	$10,663.58
United Facility/Professional Facility Modifier Low / Median / High Price $10.05 / $10.05 / $10.05	Facility		$10.05	$10.05	$10.05
United Facility/Professional Professional Modifier Low / Median / High Price $4.01 / $5.62 / $16.94	Professional		$4.01	$5.62	$16.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5.29 / $6.70 / $6.70	Professional		$5.29	$6.70	$6.70