Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.85 / $112.46 / $230.16	Facility		$13.85	$112.46	$230.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.25 / $7.29 / $60.89	Professional		$6.25	$7.29	$60.89
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 $9.47 / $14.32 / $70.62	Professional		$9.47	$14.32	$70.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.47 / $13.58 / $79.18	Facility		$9.47	$13.58	$79.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.97 / $9.47 / $23.95	Professional		$4.97	$9.47	$23.95
Midlands Facility/Professional Facility Modifier Low / Median / High Price $11.59 / $16.43 / $26.60	Facility		$11.59	$16.43	$26.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $11.36 / $19.29 / $24.72	Professional		$11.36	$19.29	$24.72
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $392.64 / $4,668.57 / $8,063.88	Facility		$392.64	$4,668.57	$8,063.88
United Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $5.68 / $19.46	Professional		$5.13	$5.68	$19.46
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $7.48 / $9.47 / $9.47	Professional		$7.48	$9.47	$9.47