Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $53.70 / $100.00	Facility		$9.77	$53.70	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $10.47 / $43.65	Professional		$4.57	$10.47	$43.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $12.30 / $15.49	Professional		$7.94	$12.30	$15.49
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $11.75 / $38.90	Professional		$7.08	$11.75	$38.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $18.62 / $64.57	Facility		$6.46	$18.62	$64.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $6.61 / $16.98	Professional		$3.89	$6.61	$16.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $8.32 / $52.48	Professional		$7.76	$8.32	$52.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $7.94 / $7.94	Facility		$7.94	$7.94	$7.94
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $741.31 / $2,089.30	Facility		$61.66	$741.31	$2,089.30
United Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $6.46 / $14.45	Facility		$6.46	$6.46	$14.45
United Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $5.37 / $15.49	Professional		$3.89	$5.37	$15.49
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $6.46 / $6.46	Professional		$5.13	$6.46	$6.46