Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.45 / $91.18 / $287.68	Facility		$13.45	$91.18	$287.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.64 / $11.45 / $54.05	Professional		$6.64	$11.45	$54.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.91 / $15.67 / $19.57	Professional		$9.91	$15.67	$19.57
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $8.61 / $15.09 / $47.16	Professional		$8.61	$15.09	$47.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.61 / $17.27 / $81.80	Facility		$8.61	$17.27	$81.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.17 / $8.61 / $22.50	Professional		$5.17	$8.61	$22.50
Midlands Facility/Professional Facility Modifier Low / Median / High Price $10.55 / $17.54 / $27.02	Facility		$10.55	$17.54	$27.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $10.35 / $17.54 / $24.68	Professional		$10.35	$17.54	$24.68
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $494.58 / $1,946.23 / $3,361.69	Facility		$494.58	$1,946.23	$3,361.69
United Facility/Professional Facility Modifier Low / Median / High Price $8.61 / $8.61 / $8.61	Facility		$8.61	$8.61	$8.61
United Facility/Professional Professional Modifier Low / Median / High Price $5.17 / $7.22 / $19.82	Professional		$5.17	$7.22	$19.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $6.81 / $8.61 / $8.61	Professional		$6.81	$8.61	$8.61