Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $73.70 / $127.31	Facility		$13.49	$73.70	$127.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.66 / $12.51 / $67.00	Professional		$6.66	$12.51	$67.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.91 / $15.67 / $19.57	Professional		$9.91	$15.67	$19.57
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $8.65 / $15.14 / $39.04	Professional		$8.65	$15.14	$39.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.38 / $17.82 / $78.20	Facility		$10.38	$17.82	$78.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.19 / $8.65 / $22.58	Professional		$5.19	$8.65	$22.58
Midlands Facility/Professional Facility Modifier Low / Median / High Price $10.59 / $17.63 / $27.12	Facility		$10.59	$17.63	$27.12
Midlands Facility/Professional Professional Modifier Low / Median / High Price $10.39 / $17.63 / $24.78	Professional		$10.39	$17.63	$24.78
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $5,811.81 / $48,476.12 / $83,731.41	Facility		$5,811.81	$48,476.12	$83,731.41
United Facility/Professional Professional Modifier Low / Median / High Price $5.19 / $5.19 / $19.89	Professional		$5.19	$5.19	$19.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $6.83 / $8.65 / $8.65	Professional		$6.83	$8.65	$8.65