Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.11 / $32.34 / $72.54	Facility		$4.11	$32.34	$72.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.82 / $3.69 / $29.92	Professional		$1.82	$3.69	$29.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.50 / $3.92 / $4.90	Professional		$2.50	$3.92	$4.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2.37 / $4.15 / $8.03	Professional		$2.37	$4.15	$8.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.84 / $5.24 / $29.93	Facility		$2.84	$5.24	$29.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.37 / $3.05 / $5.72	Professional		$2.37	$3.05	$5.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2.91 / $4.83 / $7.43	Facility		$2.91	$4.83	$7.43
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2.85 / $4.83 / $6.19	Professional		$2.85	$4.83	$6.19
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $150.84 / $1,198.40 / $2,069.96	Facility		$150.84	$1,198.40	$2,069.96
United Facility/Professional Professional Modifier Low / Median / High Price $2.37 / $2.37 / $5.42	Professional		$2.37	$2.37	$5.42
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1.87 / $2.37 / $2.37	Professional		$1.87	$2.37	$2.37