Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.73 / $59.71 / $99.26	Facility		$10.73	$59.71	$99.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.63 / $9.64 / $77.44	Professional		$4.63	$9.64	$77.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.02 / $11.10 / $13.87	Professional		$7.02	$11.10	$13.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $6.01 / $10.52 / $36.04	Professional		$6.01	$10.52	$36.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.08 / $13.28 / $55.83	Facility		$6.08	$13.28	$55.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.61 / $6.01 / $15.04	Professional		$3.61	$6.01	$15.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $7.35 / $12.24 / $18.67	Facility		$7.35	$12.24	$18.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $7.22 / $12.24 / $16.63	Professional		$7.22	$12.24	$16.63
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $801.90 / $3,357.62 / $5,799.50	Facility		$801.90	$3,357.62	$5,799.50
United Facility/Professional Facility Modifier Low / Median / High Price $6.01 / $6.01 / $6.01	Facility		$6.01	$6.01	$6.01
United Facility/Professional Professional Modifier Low / Median / High Price $3.61 / $4.37 / $14.54	Professional		$3.61	$4.37	$14.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4.75 / $6.01 / $6.01	Professional		$4.75	$6.01	$6.01