Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.37 / $42.24 / $100.50	Facility		$5.37	$42.24	$100.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.83 / $5.38 / $49.28	Professional		$2.83	$5.38	$49.28
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 / $25.24	Professional		$3.67	$6.42	$25.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.67 / $6.53 / $53.06	Facility		$3.67	$6.53	$53.06
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.20 / $3.67 / $9.58	Professional		$2.20	$3.67	$9.58
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 $73.75 / $1,030.79 / $1,780.43	Facility		$73.75	$1,030.79	$1,780.43
United Facility/Professional Facility Modifier Low / Median / High Price $5.51 / $5.51 / $5.51	Facility		$5.51	$5.51	$5.51
United Facility/Professional Professional Modifier Low / Median / High Price $2.20 / $2.99 / $8.44	Professional		$2.20	$2.99	$8.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2.90 / $3.67 / $3.67	Professional		$2.90	$3.67	$3.67