Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.30 / $24.80 / $76.65	Facility		$8.30	$24.80	$76.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $8.02 / $36.00	Professional		$4.37	$8.02	$36.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $10.44 / $13.06	Professional		$6.61	$10.44	$13.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $5.67 / $9.92 / $24.60	Professional		$5.67	$9.92	$24.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.67 / $10.25 / $45.94	Facility		$5.67	$10.25	$45.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.40 / $5.67 / $14.80	Professional		$3.40	$5.67	$14.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $6.95 / $11.55 / $17.78	Facility		$6.95	$11.55	$17.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6.81 / $11.55 / $16.25	Professional		$6.81	$11.55	$16.25
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $175.08 / $1,160.33 / $2,004.17	Facility		$175.08	$1,160.33	$2,004.17
United Facility/Professional Professional Modifier Low / Median / High Price $3.40 / $3.40 / $13.04	Professional		$3.40	$3.40	$13.04
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4.48 / $5.67 / $5.67	Professional		$4.48	$5.67	$5.67