Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.44 / $49.28 / $86.82	Facility		$7.44	$49.28	$86.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.30 / $6.43 / $65.09	Professional		$3.30	$6.43	$65.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.96 / $7.83 / $9.78	Professional		$4.96	$7.83	$9.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4.29 / $7.51 / $23.63	Professional		$4.29	$7.51	$23.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.15 / $12.45 / $57.10	Facility		$5.15	$12.45	$57.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.29 / $5.11 / $10.03	Professional		$4.29	$5.11	$10.03
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4.82 / $8.02 / $12.45	Facility		$4.82	$8.02	$12.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5.15 / $8.02 / $11.20	Professional		$5.15	$8.02	$11.20
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $775.79 / $8,468.01 / $14,626.53	Facility		$775.79	$8,468.01	$14,626.53
United Facility/Professional Professional Modifier Low / Median / High Price $3.78 / $4.29 / $9.39	Professional		$3.78	$4.29	$9.39
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $4.29 / $4.29	Professional		$3.39	$4.29	$4.29