Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.05 / $12.14 / $52.63	Facility		$5.05	$12.14	$52.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $3.39 / $30.00	Professional		$3.39	$3.39	$30.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.28 / $8.49 / $10.61	Professional		$5.28	$8.49	$10.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4.40 / $7.70 / $29.60	Professional		$4.40	$7.70	$29.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.40 / $7.39 / $21.79	Facility		$4.40	$7.39	$21.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.64 / $4.53 / $11.48	Professional		$2.64	$4.53	$11.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $5.39 / $8.97 / $13.79	Facility		$5.39	$8.97	$13.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5.28 / $8.97 / $12.68	Professional		$5.28	$8.97	$12.68
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,177.91 / $1,177.91 / $1,177.91	Facility		$1,177.91	$1,177.91	$1,177.91
United Facility/Professional Facility Modifier Low / Median / High Price $4.40 / $4.40 / $10.11	Facility		$4.40	$4.40	$10.11
United Facility/Professional Professional Modifier Low / Median / High Price $2.64 / $2.93 / $10.66	Professional		$2.64	$2.93	$10.66
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3.48 / $4.40 / $4.40	Professional		$3.48	$4.40	$4.40