Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.11 / $84.45 / $174.57	Facility		$16.11	$84.45	$174.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.95 / $11.86 / $57.00	Professional		$6.95	$11.86	$57.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.33 / $16.32 / $20.39	Professional		$10.33	$16.32	$20.39
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $15.79 / $49.27	Professional		$9.02	$15.79	$49.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.82 / $19.93 / $86.09	Facility		$10.82	$19.93	$86.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.41 / $9.02 / $22.81	Professional		$5.41	$9.02	$22.81
Midlands Facility/Professional Facility Modifier Low / Median / High Price $11.04 / $18.36 / $27.39	Facility		$11.04	$18.36	$27.39
Midlands Facility/Professional Professional Modifier Low / Median / High Price $10.82 / $18.36 / $25.49	Professional		$10.82	$18.36	$25.49
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $87.64 / $359.39 / $620.75	Facility		$87.64	$359.39	$620.75
United Facility/Professional Professional Modifier Low / Median / High Price $5.41 / $6.32 / $40.65	Professional		$5.41	$6.32	$40.65
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $7.13 / $9.02 / $9.02	Professional		$7.13	$9.02	$9.02