Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $12.30 / $17.78	Facility		$3.98	$12.30	$17.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $5.01 / $12.88	Professional		$3.98	$5.01	$12.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $12.30 / $15.49	Professional		$7.94	$12.30	$15.49
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $9.33 / $16.98	Professional		$6.46	$9.33	$16.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $8.32 / $20.42	Facility		$6.46	$8.32	$20.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $7.76 / $16.98	Professional		$3.89	$7.76	$16.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $7.94 / $8.32	Professional		$7.76	$7.94	$8.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $7.94 / $7.94	Facility		$7.94	$7.94	$7.94
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $89.13 / $120.23	Facility		$41.69	$89.13	$120.23
United Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $6.46 / $14.45	Facility		$6.46	$6.46	$14.45
United Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $5.37 / $15.49	Professional		$3.89	$5.37	$15.49
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $6.46 / $6.46	Professional		$5.13	$6.46	$6.46