Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.94 / $37.32 / $81.73	Facility		$9.94	$37.32	$81.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.48 / $7.85 / $35.00	Professional		$4.48	$7.85	$35.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $10.44 / $13.06	Professional		$6.61	$10.44	$13.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $5.82 / $10.19 / $20.10	Professional		$5.82	$10.19	$20.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.82 / $7.57 / $29.93	Facility		$5.82	$7.57	$29.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.82 / $6.22 / $12.76	Professional		$5.82	$6.22	$12.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $5.23 / $10.00 / $14.94	Facility		$5.23	$10.00	$14.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6.22 / $10.00 / $14.94	Professional		$6.22	$10.00	$14.94
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $263.66 / $1,760.25 / $3,040.43	Facility		$263.66	$1,760.25	$3,040.43
United Facility/Professional Professional Modifier Low / Median / High Price $5.82 / $5.82 / $11.99	Professional		$5.82	$5.82	$11.99
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4.59 / $5.82 / $5.82	Professional		$4.59	$5.82	$5.82