Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.42 / $77.73 / $159.75	Facility		$13.42	$77.73	$159.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.79 / $9.84 / $49.00	Professional		$5.79	$9.84	$49.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.67 / $13.71 / $17.14	Professional		$8.67	$13.71	$17.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $7.52 / $13.16 / $58.10	Professional		$7.52	$13.16	$58.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.02 / $14.67 / $100.00	Facility		$9.02	$14.67	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.51 / $7.52 / $19.63	Professional		$4.51	$7.52	$19.63
Midlands Facility/Professional Facility Modifier Low / Median / High Price $9.21 / $15.33 / $23.58	Facility		$9.21	$15.33	$23.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $9.03 / $15.33 / $21.55	Professional		$9.03	$15.33	$21.55
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $755.96 / $2,915.59 / $5,035.99	Facility		$755.96	$2,915.59	$5,035.99
United Facility/Professional Professional Modifier Low / Median / High Price $4.51 / $6.29 / $18.22	Professional		$4.51	$6.29	$18.22
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5.94 / $7.52 / $7.52	Professional		$5.94	$7.52	$7.52