Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.58 / $57.86 / $109.11	Facility		$7.58	$57.86	$109.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.99 / $9.82 / $44.88	Professional		$3.99	$9.82	$44.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.78 / $9.14 / $11.42	Professional		$5.78	$9.14	$11.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $5.18 / $9.07 / $29.79	Professional		$5.18	$9.07	$29.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.18 / $9.22 / $43.73	Facility		$5.18	$9.22	$43.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.18 / $7.23 / $13.30	Professional		$5.18	$7.23	$13.30
Midlands Facility/Professional Facility Modifier Low / Median / High Price $6.34 / $10.55 / $16.23	Facility		$6.34	$10.55	$16.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6.22 / $10.55 / $14.83	Professional		$6.22	$10.55	$14.83
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $786.99 / $2,806.18 / $4,847.02	Facility		$786.99	$2,806.18	$4,847.02
United Facility/Professional Professional Modifier Low / Median / High Price $4.55 / $5.18 / $11.91	Professional		$4.55	$5.18	$11.91
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4.09 / $5.18 / $5.18	Professional		$4.09	$5.18	$5.18