Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.41 / $46.73 / $87.58	Facility		$6.41	$46.73	$87.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.29 / $6.25 / $54.00	Professional		$3.29	$6.25	$54.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.96 / $7.83 / $9.78	Professional		$4.96	$7.83	$9.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4.26 / $7.47 / $23.58	Professional		$4.26	$7.47	$23.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.26 / $8.27 / $38.19	Facility		$4.26	$8.27	$38.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.56 / $4.26 / $11.08	Professional		$2.56	$4.26	$11.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $5.23 / $8.72 / $13.39	Facility		$5.23	$8.72	$13.39
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $8.72 / $12.22	Professional		$5.13	$8.72	$12.22
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,302.33 / $10,795.02 / $18,645.90	Facility		$1,302.33	$10,795.02	$18,645.90
United Facility/Professional Facility Modifier Low / Median / High Price $6.41 / $6.41 / $6.41	Facility		$6.41	$6.41	$6.41
United Facility/Professional Professional Modifier Low / Median / High Price $2.56 / $3.49 / $9.82	Professional		$2.56	$3.49	$9.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3.37 / $4.26 / $4.26	Professional		$3.37	$4.26	$4.26