Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.90 / $44.55 / $96.35	Facility		$7.90	$44.55	$96.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.99 / $5.18 / $32.47	Professional		$3.99	$5.18	$32.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.78 / $9.14 / $11.42	Professional		$5.78	$9.14	$11.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $5.18 / $9.07 / $21.45	Professional		$5.18	$9.07	$21.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.18 / $8.82 / $32.10	Facility		$5.18	$8.82	$32.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.11 / $5.18 / $13.30	Professional		$3.11	$5.18	$13.30
Midlands Facility/Professional Facility Modifier Low / Median / High Price $6.34 / $10.55 / $16.23	Facility		$6.34	$10.55	$16.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6.22 / $10.55 / $14.83	Professional		$6.22	$10.55	$14.83
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $689.59 / $9,222.00 / $15,928.93	Facility		$689.59	$9,222.00	$15,928.93
United Facility/Professional Professional Modifier Low / Median / High Price $3.11 / $4.34 / $11.91	Professional		$3.11	$4.34	$11.91
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4.09 / $5.18 / $5.18	Professional		$4.09	$5.18	$5.18