Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.14 / $9.25 / $34.56	Facility		$6.14	$9.25	$34.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.99 / $6.45 / $97.44	Professional		$3.99	$6.45	$97.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.78 / $9.14 / $11.42	Professional		$5.78	$9.14	$11.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $5.18 / $7.77 / $28.37	Professional		$5.18	$7.77	$28.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.18 / $6.73 / $16.73	Facility		$5.18	$6.73	$16.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.68 / $5.18 / $13.10	Professional		$2.68	$5.18	$13.10
Midlands Facility/Professional Facility Modifier Low / Median / High Price $6.34 / $9.13 / $13.30	Facility		$6.34	$9.13	$13.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6.22 / $10.55 / $13.30	Professional		$6.22	$10.55	$13.30
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,009.37 / $1,009.37 / $1,009.37	Facility		$1,009.37	$1,009.37	$1,009.37
United Facility/Professional Professional Modifier Low / Median / High Price $2.77 / $3.11 / $10.64	Professional		$2.77	$3.11	$10.64
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4.09 / $5.18 / $5.18	Professional		$4.09	$5.18	$5.18