Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.81 / $51.04 / $96.03	Facility		$9.81	$51.04	$96.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.11 / $8.43 / $115.50	Professional		$5.11	$8.43	$115.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.43 / $11.75 / $14.69	Professional		$7.43	$11.75	$14.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $6.63 / $11.60 / $24.60	Professional		$6.63	$11.60	$24.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.63 / $10.89 / $70.78	Facility		$6.63	$10.89	$70.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $6.63 / $16.80	Professional		$3.98	$6.63	$16.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $8.11 / $13.49 / $20.79	Facility		$8.11	$13.49	$20.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $7.96 / $13.49 / $17.73	Professional		$7.96	$13.49	$17.73
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $93.73 / $591.54 / $1,021.74	Facility		$93.73	$591.54	$1,021.74
United Facility/Professional Facility Modifier Low / Median / High Price $9.94 / $9.94 / $9.94	Facility		$9.94	$9.94	$9.94
United Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $4.91 / $16.36	Professional		$3.98	$4.91	$16.36
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5.24 / $6.63 / $6.63	Professional		$5.24	$6.63	$6.63