Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.61 / $35.67 / $92.50	Facility		$6.61	$35.67	$92.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.48 / $6.53 / $29.00	Professional		$3.48	$6.53	$29.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $8.49 / $10.61	Professional		$5.37	$8.49	$10.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4.51 / $7.91 / $21.99	Professional		$4.51	$7.91	$21.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.42 / $9.31 / $54.22	Facility		$5.42	$9.31	$54.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.71 / $4.51 / $11.43	Professional		$2.71	$4.51	$11.43
Midlands Facility/Professional Facility Modifier Low / Median / High Price $5.54 / $9.19 / $14.17	Facility		$5.54	$9.19	$14.17
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5.43 / $9.19 / $13.02	Professional		$5.43	$9.19	$13.02
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $512.27 / $845.25 / $1,459.97	Facility		$512.27	$845.25	$1,459.97
United Facility/Professional Professional Modifier Low / Median / High Price $2.71 / $2.77 / $10.40	Professional		$2.71	$2.77	$10.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3.57 / $4.51 / $4.51	Professional		$3.57	$4.51	$4.51