Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.25 / $29.57 / $121.26	Facility		$6.25	$29.57	$121.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.29 / $5.68 / $26.77	Professional		$3.29	$5.68	$26.77
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 / $26.52	Professional		$4.26	$7.47	$26.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.26 / $7.15 / $20.64	Facility		$4.26	$7.15	$20.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.26 / $5.96 / $11.14	Professional		$4.26	$5.96	$11.14
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 $969.08 / $969.08 / $969.08	Facility		$969.08	$969.08	$969.08
United Facility/Professional Professional Modifier Low / Median / High Price $4.26 / $4.26 / $9.82	Professional		$4.26	$4.26	$9.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3.37 / $4.26 / $4.26	Professional		$3.37	$4.26	$4.26