Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.99 / $60.80 / $216.08	Facility		$13.99	$60.80	$216.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.22 / $11.44 / $92.40	Professional		$6.22	$11.44	$92.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.50 / $15.01 / $18.77	Professional		$9.50	$15.01	$18.77
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $8.08 / $14.14 / $44.12	Professional		$8.08	$14.14	$44.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.69 / $16.14 / $58.08	Facility		$9.69	$16.14	$58.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.84 / $8.08 / $20.96	Professional		$4.84	$8.08	$20.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $9.90 / $16.45 / $25.33	Facility		$9.90	$16.45	$25.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $9.69 / $16.45 / $23.27	Professional		$9.69	$16.45	$23.27
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $941.00 / $6,659.74 / $11,503.20	Facility		$941.00	$6,659.74	$11,503.20
United Facility/Professional Professional Modifier Low / Median / High Price $4.84 / $4.84 / $18.57	Professional		$4.84	$4.84	$18.57
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $6.38 / $8.08 / $8.08	Professional		$6.38	$8.08	$8.08