Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.18 / $65.09 / $351.44	Facility		$8.18	$65.09	$351.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.72 / $4.30 / $36.01	Professional		$3.72	$4.30	$36.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.20 / $9.78 / $12.24	Professional		$6.20	$9.78	$12.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $5.60 / $9.80 / $46.87	Professional		$5.60	$9.80	$46.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.60 / $9.38 / $40.75	Facility		$5.60	$9.38	$40.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.36 / $5.77 / $15.38	Professional		$3.36	$5.77	$15.38
Midlands Facility/Professional Facility Modifier Low / Median / High Price $6.74 / $11.21 / $17.55	Facility		$6.74	$11.21	$17.55
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6.72 / $11.21 / $15.77	Professional		$6.72	$11.21	$15.77
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $895.70 / $2,759.16 / $4,765.80	Facility		$895.70	$2,759.16	$4,765.80
United Facility/Professional Professional Modifier Low / Median / High Price $3.36 / $4.62 / $12.88	Professional		$3.36	$4.62	$12.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4.42 / $5.60 / $5.60	Professional		$4.42	$5.60	$5.60