Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.23 / $25.22 / $50.96	Facility		$15.23	$25.22	$50.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.88 / $19.02 / $122.00	Professional		$10.88	$19.02	$122.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.52 / $26.11 / $32.64	Professional		$16.52	$26.11	$32.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $24.73 / $44.89	Professional		$14.13	$24.73	$44.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $20.11 / $43.59	Facility		$14.13	$20.11	$43.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.48 / $14.13 / $34.52	Professional		$8.48	$14.13	$34.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $14.69 / $25.92 / $43.59	Facility		$14.69	$25.92	$43.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $15.39 / $25.92 / $36.88	Professional		$15.39	$25.92	$36.88
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $182.94 / $1,892.37 / $3,268.62	Facility		$182.94	$1,892.37	$3,268.62
United Facility/Professional Professional Modifier Low / Median / High Price $8.48 / $8.48 / $32.50	Professional		$8.48	$8.48	$32.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $11.16 / $14.13 / $14.13	Professional		$11.16	$14.13	$14.13