Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $31.62 / $64.57	Facility		$3.63	$31.62	$64.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $3.89 / $15.85	Professional		$2.00	$3.89	$15.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.09 / $4.17 / $5.13	Professional		$3.09	$4.17	$5.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2.63 / $4.27 / $22.91	Professional		$2.63	$4.27	$22.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.34 / $5.50 / $33.11	Facility		$2.34	$5.50	$33.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.34 / $3.09 / $5.75	Professional		$2.34	$3.09	$5.75
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2.82 / $2.82 / $2.88	Professional		$2.82	$2.82	$2.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2.88 / $2.88 / $2.88	Facility		$2.88	$2.88	$2.88
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $1,445.44 / $2,041.74	Facility		$151.36	$1,445.44	$2,041.74
United Facility/Professional Facility Modifier Low / Median / High Price $2.34 / $2.34 / $5.25	Facility		$2.34	$2.34	$5.25
United Facility/Professional Professional Modifier Low / Median / High Price $2.09 / $2.34 / $5.37	Professional		$2.09	$2.34	$5.37
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1.86 / $2.34 / $2.34	Professional		$1.86	$2.34	$2.34