Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.20 / $28.95 / $50.96	Facility		$13.20	$28.95	$50.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.09 / $9.43 / $12.22	Professional		$8.09	$9.43	$12.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.04 / $22.20 / $27.74	Professional		$14.04	$22.20	$27.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.25 / $21.44 / $39.15	Professional		$12.25	$21.44	$39.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.25 / $20.11 / $63.49	Facility		$12.25	$20.11	$63.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.35 / $12.62 / $33.26	Professional		$7.35	$12.62	$33.26
Midlands Facility/Professional Facility Modifier Low / Median / High Price $14.69 / $24.43 / $38.40	Facility		$14.69	$24.43	$38.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $14.70 / $24.43 / $34.36	Professional		$14.70	$24.43	$34.36
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $960.36 / $2,687.27 / $4,641.62	Facility		$960.36	$2,687.27	$4,641.62
United Facility/Professional Professional Modifier Low / Median / High Price $7.35 / $9.78 / $29.04	Professional		$7.35	$9.78	$29.04
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $9.68 / $12.25 / $12.25	Professional		$9.68	$12.25	$12.25