Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.13 / $13.80 / $42.66	Facility		$5.13	$13.80	$42.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $7.94 / $95.50	Professional		$3.02	$7.94	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $9.55 / $12.02	Professional		$6.31	$9.55	$12.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $8.32 / $33.11	Professional		$5.13	$8.32	$33.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.13 / $6.76 / $13.80	Facility		$5.13	$6.76	$13.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $5.75 / $12.59	Professional		$2.69	$5.75	$12.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $6.76 / $6.76	Professional		$6.31	$6.76	$6.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $6.31 / $6.31 / $6.31	Facility		$6.31	$6.31	$6.31
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Facility		$1,000.00	$1,000.00	$1,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $5.13 / $5.13 / $11.48	Facility		$5.13	$5.13	$11.48
United Facility/Professional Professional Modifier Low / Median / High Price $2.63 / $3.09 / $12.02	Professional		$2.63	$3.09	$12.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $5.13 / $5.13	Professional		$4.07	$5.13	$5.13