Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.21 / $48.00 / $92.66	Facility		$8.21	$48.00	$92.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.65 / $5.97 / $31.16	Professional		$3.65	$5.97	$31.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.69 / $9.14 / $11.42	Professional		$5.69	$9.14	$11.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4.74 / $8.30 / $17.37	Professional		$4.74	$8.30	$17.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.74 / $9.67 / $43.23	Facility		$4.74	$9.67	$43.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.84 / $4.74 / $12.19	Professional		$2.84	$4.74	$12.19
Midlands Facility/Professional Facility Modifier Low / Median / High Price $5.81 / $9.67 / $14.86	Facility		$5.81	$9.67	$14.86
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5.69 / $9.67 / $13.57	Professional		$5.69	$9.67	$13.57
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $61.60 / $1,345.92 / $2,324.76	Facility		$61.60	$1,345.92	$2,324.76
United Facility/Professional Facility Modifier Low / Median / High Price $4.74 / $4.74 / $4.74	Facility		$4.74	$4.74	$4.74
United Facility/Professional Professional Modifier Low / Median / High Price $2.84 / $3.87 / $10.90	Professional		$2.84	$3.87	$10.90
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3.74 / $4.74 / $4.74	Professional		$3.74	$4.74	$4.74