Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.40 / $10.43 / $249.83	Facility		$4.40	$10.43	$249.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.52 / $2.95 / $24.63	Professional		$2.52	$2.95	$24.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.54 / $7.18 / $8.98	Professional		$4.54	$7.18	$8.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3.83 / $6.70 / $40.70	Professional		$3.83	$6.70	$40.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.59 / $7.89 / $875.40	Facility		$4.59	$7.89	$875.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $3.83 / $9.97	Professional		$2.29	$3.83	$9.97
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4.59 / $7.80 / $12.01	Facility		$4.59	$7.80	$12.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4.51 / $7.65 / $10.00	Professional		$4.51	$7.65	$10.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $398.40 / $398.40 / $398.40	Facility		$398.40	$398.40	$398.40
United Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $2.97 / $9.27	Professional		$2.29	$2.97	$9.27
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3.03 / $3.83 / $3.83	Professional		$3.03	$3.83	$3.83