Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.10 / $164.35 / $379.33	Facility		$15.10	$164.35	$379.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.95 / $38.56 / $78.00	Professional		$7.95	$38.56	$78.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.98 / $18.93 / $23.66	Professional		$11.98	$18.93	$23.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $10.32 / $18.05 / $70.62	Professional		$10.32	$18.05	$70.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.32 / $20.73 / $87.82	Facility		$10.32	$20.73	$87.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.19 / $10.63 / $28.48	Professional		$6.19	$10.63	$28.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $12.65 / $21.04 / $32.35	Facility		$12.65	$21.04	$32.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $12.40 / $21.04 / $29.59	Professional		$12.40	$21.04	$29.59
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $698.92 / $9,285.75 / $16,038.99	Facility		$698.92	$9,285.75	$16,038.99
United Facility/Professional Professional Modifier Low / Median / High Price $6.19 / $8.43 / $25.00	Professional		$6.19	$8.43	$25.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $8.15 / $10.32 / $10.32	Professional		$8.15	$10.32	$10.32