Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.88 / $38.52 / $67.33	Facility		$7.88	$38.52	$67.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.56 / $4.15 / $34.65	Professional		$3.56	$4.15	$34.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.20 / $9.78 / $12.24	Professional		$6.20	$9.78	$12.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $5.39 / $9.43 / $33.29	Professional		$5.39	$9.43	$33.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.47 / $10.97 / $144.54	Facility		$6.47	$10.97	$144.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.23 / $5.55 / $14.07	Professional		$3.23	$5.55	$14.07
Midlands Facility/Professional Facility Modifier Low / Median / High Price $6.60 / $10.97 / $16.89	Facility		$6.60	$10.97	$16.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6.47 / $10.97 / $15.52	Professional		$6.47	$10.97	$15.52
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $12,365.91 / $12,365.91 / $12,365.91	Facility		$12,365.91	$12,365.91	$12,365.91
United Facility/Professional Professional Modifier Low / Median / High Price $3.23 / $3.23 / $12.40	Professional		$3.23	$3.23	$12.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4.26 / $5.39 / $5.39	Professional		$4.26	$5.39	$5.39