Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.37 / $42.24 / $76.39	Facility		$5.37	$42.24	$76.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.83 / $4.82 / $18.00	Professional		$2.83	$4.82	$18.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.13 / $6.53 / $8.16	Professional		$4.13	$6.53	$8.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3.67 / $6.42 / $13.71	Professional		$3.67	$6.42	$13.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.67 / $6.25 / $24.24	Facility		$3.67	$6.25	$24.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.20 / $3.67 / $9.27	Professional		$2.20	$3.67	$9.27
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4.49 / $7.45 / $11.51	Facility		$4.49	$7.45	$11.51
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4.40 / $7.45 / $10.56	Professional		$4.40	$7.45	$10.56
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $707.19 / $12,733.79 / $21,994.73	Facility		$707.19	$12,733.79	$21,994.73
United Facility/Professional Professional Modifier Low / Median / High Price $2.20 / $2.20 / $8.44	Professional		$2.20	$2.20	$8.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2.90 / $3.67 / $3.67	Professional		$2.90	$3.67	$3.67