Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.21 / $64.05 / $99.32	Facility		$11.21	$64.05	$99.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.98 / $12.21 / $52.53	Professional		$4.98	$12.21	$52.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.43 / $11.75 / $14.69	Professional		$7.43	$11.75	$14.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $6.47 / $11.32 / $32.95	Professional		$6.47	$11.32	$32.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $17.51 / $64.31	Facility		$7.76	$17.51	$64.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.88 / $6.47 / $16.89	Professional		$3.88	$6.47	$16.89
Midlands Facility/Professional Facility Modifier Low / Median / High Price $7.93 / $13.16 / $20.28	Facility		$7.93	$13.16	$20.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $7.77 / $13.16 / $18.54	Professional		$7.77	$13.16	$18.54
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $61.60 / $1,237.02 / $2,136.66	Facility		$61.60	$1,237.02	$2,136.66
United Facility/Professional Professional Modifier Low / Median / High Price $3.88 / $5.42 / $29.17	Professional		$3.88	$5.42	$29.17
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5.11 / $6.47 / $6.47	Professional		$5.11	$6.47	$6.47