Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.28 / $42.75 / $97.45	Facility		$6.28	$42.75	$97.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.08 / $8.34 / $66.88	Professional		$4.08	$8.34	$66.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.78 / $9.14 / $11.42	Professional		$5.78	$9.14	$11.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $5.30 / $9.27 / $19.82	Professional		$5.30	$9.27	$19.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.30 / $9.61 / $55.35	Facility		$5.30	$9.61	$55.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.18 / $5.30 / $13.43	Professional		$3.18	$5.30	$13.43
Midlands Facility/Professional Facility Modifier Low / Median / High Price $6.49 / $10.79 / $16.62	Facility		$6.49	$10.79	$16.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6.37 / $10.79 / $15.27	Professional		$6.37	$10.79	$15.27
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $965.08 / $12,885.24 / $22,256.35	Facility		$965.08	$12,885.24	$22,256.35
United Facility/Professional Professional Modifier Low / Median / High Price $3.18 / $4.44 / $13.40	Professional		$3.18	$4.44	$13.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4.19 / $5.30 / $5.30	Professional		$4.19	$5.30	$5.30