Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.25 / $151.05 / $301.88	Facility		$22.25	$151.05	$301.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.60 / $18.32 / $128.47	Professional		$9.60	$18.32	$128.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.46 / $22.85 / $28.56	Professional		$14.46	$22.85	$28.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.47 / $21.82 / $75.80	Professional		$12.47	$21.82	$75.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.96 / $34.85 / $173.67	Facility		$14.96	$34.85	$173.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.48 / $12.47 / $28.35	Professional		$7.48	$12.47	$28.35
Midlands Facility/Professional Facility Modifier Low / Median / High Price $12.05 / $22.85 / $34.85	Facility		$12.05	$22.85	$34.85
Midlands Facility/Professional Professional Modifier Low / Median / High Price $12.97 / $22.85 / $32.54	Professional		$12.97	$22.85	$32.54
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $896.71 / $4,125.47 / $7,125.83	Facility		$896.71	$4,125.47	$7,125.83
United Facility/Professional Professional Modifier Low / Median / High Price $7.48 / $8.25 / $27.48	Professional		$7.48	$8.25	$27.48
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $9.85 / $12.47 / $12.47	Professional		$9.85	$12.47	$12.47