Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.83 / $35.38 / $69.34	Facility		$5.83	$35.38	$69.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.07 / $5.26 / $25.66	Professional		$3.07	$5.26	$25.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.54 / $7.18 / $8.98	Professional		$4.54	$7.18	$8.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3.99 / $6.98 / $32.31	Professional		$3.99	$6.98	$32.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.99 / $6.82 / $40.81	Facility		$3.99	$6.82	$40.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.39 / $4.11 / $10.41	Professional		$2.39	$4.11	$10.41
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4.90 / $8.14 / $12.51	Facility		$4.90	$8.14	$12.51
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4.80 / $8.14 / $11.51	Professional		$4.80	$8.14	$11.51
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $34.54 / $1,016.24 / $1,755.32	Facility		$34.54	$1,016.24	$1,755.32
United Facility/Professional Professional Modifier Low / Median / High Price $2.39 / $2.39 / $9.18	Professional		$2.39	$2.39	$9.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3.15 / $3.99 / $3.99	Professional		$3.15	$3.99	$3.99