Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.27 / $10.72 / $63.10	Facility		$4.27	$10.72	$63.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $5.62 / $26.30	Professional		$3.02	$5.62	$26.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $7.59 / $9.55	Professional		$4.90	$7.59	$9.55
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $7.24 / $33.11	Professional		$4.37	$7.24	$33.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $5.25 / $23.99	Facility		$3.98	$5.25	$23.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $4.79 / $10.00	Professional		$2.40	$4.79	$10.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $5.13 / $56.23	Professional		$4.79	$5.13	$56.23
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4.90 / $4.90 / $4.90	Facility		$4.90	$4.90	$4.90
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $616.60 / $1,737.80	Facility		$34.67	$616.60	$1,737.80
United Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $3.98 / $8.91	Facility		$3.98	$3.98	$8.91
United Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $3.39 / $9.77	Professional		$2.40	$3.39	$9.77
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3.16 / $3.98 / $3.98	Professional		$3.16	$3.98	$3.98