Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.81 / $47.80 / $141.77	Facility		$13.81	$47.80	$141.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.27 / $13.19 / $134.00	Professional		$7.27	$13.19	$134.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.74 / $16.97 / $21.22	Professional		$10.74	$16.97	$21.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $9.44 / $16.52 / $50.52	Professional		$9.44	$16.52	$50.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.44 / $16.11 / $49.30	Facility		$9.44	$16.11	$49.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.66 / $8.84 / $26.05	Professional		$5.66	$8.84	$26.05
Midlands Facility/Professional Facility Modifier Low / Median / High Price $11.57 / $19.23 / $29.59	Facility		$11.57	$19.23	$29.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $9.91 / $18.88 / $27.05	Professional		$9.91	$18.88	$27.05
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,438.96 / $1,438.96 / $1,438.96	Facility		$1,438.96	$1,438.96	$1,438.96
United Facility/Professional Professional Modifier Low / Median / High Price $5.66 / $7.71 / $22.87	Professional		$5.66	$7.71	$22.87
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $7.46 / $9.44 / $9.44	Professional		$7.46	$9.44	$9.44