Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.05 / $33.28 / $146.90	Facility		$10.05	$33.28	$146.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.29 / $5.29 / $44.00	Professional		$5.29	$5.29	$44.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.85 / $12.40 / $15.50	Professional		$7.85	$12.40	$15.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $6.87 / $12.02 / $41.68	Professional		$6.87	$12.02	$41.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.87 / $11.53 / $32.74	Facility		$6.87	$11.53	$32.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.12 / $7.08 / $18.96	Professional		$4.12	$7.08	$18.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $8.42 / $13.99 / $21.54	Facility		$8.42	$13.99	$21.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $8.25 / $13.99 / $19.96	Professional		$8.25	$13.99	$19.96
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $117.42 / $839.54 / $1,450.10	Facility		$117.42	$839.54	$1,450.10
United Facility/Professional Professional Modifier Low / Median / High Price $4.12 / $4.12 / $15.80	Professional		$4.12	$4.12	$15.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5.43 / $6.87 / $6.87	Professional		$5.43	$6.87	$6.87