Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.00 / $188.85 / $339.11	Facility		$48.00	$188.85	$339.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.46 / $13.20 / $54.40	Professional		$5.46	$13.20	$54.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.43 / $14.79 / $21.51	Professional		$11.43	$14.79	$21.51
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $5.53 / $9.88 / $41.09	Professional		$5.53	$9.88	$41.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.51 / $62.32 / $192.96	Facility		$9.51	$62.32	$192.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.83 / $17.30 / $99.52	Professional		$9.83	$17.30	$99.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $11.33 / $14.84 / $22.00	Facility		$11.33	$14.84	$22.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $11.33 / $15.53 / $25.00	Professional		$11.33	$15.53	$25.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,210.85 / $6,896.82 / $14,040.00	Facility		$1,210.85	$6,896.82	$14,040.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.76 / $10.28 / $13.30	Professional		$5.76	$10.28	$13.30
United Facility/Professional Professional Modifier Low / Median / High Price $8.44 / $15.88 / $21.35	Professional		$8.44	$15.88	$21.35
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $10.02 / $12.70 / $14.90	Professional		$10.02	$12.70	$14.90