Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.68 / $48.98 / $112.20	Facility		$4.68	$48.98	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $8.13 / $42.66	Professional		$2.00	$8.13	$42.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $5.50 / $6.92	Professional		$3.63	$5.50	$6.92
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $7.24 / $34.67	Professional		$3.02	$7.24	$34.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.89 / $25.12 / $288.40	Facility		$3.89	$25.12	$288.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.78 / $3.31 / $7.76	Professional		$1.78	$3.31	$7.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $3.89 / $25.70	Professional		$3.63	$3.89	$25.70
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $3.63 / $3.63	Facility		$3.63	$3.63	$3.63
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,630.27 / $7,244.36	Facility		$1,000.00	$2,630.27	$7,244.36
United Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $309.03 / $407.38	Facility		$3.02	$309.03	$407.38
United Facility/Professional Professional Modifier Low / Median / High Price $1.78 / $2.51 / $7.24	Professional		$1.78	$2.51	$7.24
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2.34 / $3.02 / $3.02	Professional		$2.34	$3.02	$3.02