Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.25 / $17.48 / $88.40	Facility		$6.25	$17.48	$88.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.29 / $5.62 / $27.00	Professional		$3.29	$5.62	$27.00
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 $4.26 / $7.47 / $23.63	Professional		$4.26	$7.47	$23.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.26 / $7.29 / $59.47	Facility		$4.26	$7.29	$59.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.56 / $4.40 / $11.14	Professional		$2.56	$4.40	$11.14
Midlands Facility/Professional Facility Modifier Low / Median / High Price $5.23 / $8.72 / $13.39	Facility		$5.23	$8.72	$13.39
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $8.72 / $11.78	Professional		$5.13	$8.72	$11.78
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $176.90 / $1,114.77 / $1,925.49	Facility		$176.90	$1,114.77	$1,925.49
United Facility/Professional Professional Modifier Low / Median / High Price $2.56 / $3.58 / $10.80	Professional		$2.56	$3.58	$10.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3.37 / $4.26 / $4.26	Professional		$3.37	$4.26	$4.26