Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $33.88 / $95.50	Facility		$7.59	$33.88	$95.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $5.13 / $33.88	Professional		$3.02	$5.13	$33.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $9.55 / $12.02	Professional		$7.24	$9.55	$12.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $9.12 / $47.86	Professional		$5.13	$9.12	$47.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.13 / $6.76 / $25.70	Facility		$5.13	$6.76	$25.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.09 / $6.17 / $13.18	Professional		$3.09	$6.17	$13.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $6.31 / $6.31	Professional		$6.31	$6.31	$6.31
Midlands Facility/Professional Facility Modifier Low / Median / High Price $6.31 / $6.31 / $6.31	Facility		$6.31	$6.31	$6.31
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $12,022.64 / $15,848.93	Facility		$5,623.41	$12,022.64	$15,848.93
United Facility/Professional Facility Modifier Low / Median / High Price $5.13 / $5.13 / $11.48	Facility		$5.13	$5.13	$11.48
United Facility/Professional Professional Modifier Low / Median / High Price $3.09 / $4.37 / $12.59	Professional		$3.09	$4.37	$12.59
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $5.13 / $5.13	Professional		$4.07	$5.13	$5.13