Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.47 / $8.34 / $31.69	Facility		$3.47	$8.34	$31.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.99 / $2.33 / $2.90	Professional		$1.99	$2.33	$2.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.30 / $5.22 / $6.53	Professional		$3.30	$5.22	$6.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $5.29 / $11.25	Professional		$3.02	$5.29	$11.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $4.63 / $14.56	Facility		$3.02	$4.63	$14.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.81 / $3.11 / $7.88	Professional		$1.81	$3.11	$7.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3.70 / $6.16 / $9.47	Facility		$3.70	$6.16	$9.47
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3.62 / $6.16 / $8.69	Professional		$3.62	$6.16	$8.69
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $96.77 / $96.77 / $96.77	Facility		$96.77	$96.77	$96.77
United Facility/Professional Professional Modifier Low / Median / High Price $1.81 / $2.47 / $7.30	Professional		$1.81	$2.47	$7.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2.39 / $3.02 / $3.02	Professional		$2.39	$3.02	$3.02