Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.11 / $93.25 / $210.02	Facility		$15.11	$93.25	$210.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.98 / $12.61 / $56.00	Professional		$5.98	$12.61	$56.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.09 / $14.36 / $17.95	Professional		$9.09	$14.36	$17.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $7.77 / $13.60 / $29.15	Professional		$7.77	$13.60	$29.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.34 / $24.23 / $100.00	Facility		$9.34	$24.23	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.66 / $7.77 / $20.28	Professional		$4.66	$7.77	$20.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $9.52 / $15.82 / $24.36	Facility		$9.52	$15.82	$24.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $9.32 / $15.53 / $22.18	Professional		$9.32	$15.53	$22.18
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $941.00 / $6,659.74 / $11,503.20	Facility		$941.00	$6,659.74	$11,503.20
United Facility/Professional Professional Modifier Low / Median / High Price $4.66 / $6.52 / $18.80	Professional		$4.66	$6.52	$18.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $6.14 / $7.77 / $7.77	Professional		$6.14	$7.77	$7.77