Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $154.88 / $616.60	Facility		$14.45	$154.88	$616.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $32.36 / $104.71	Professional		$9.77	$32.36	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $25.70 / $32.36	Professional		$10.72	$25.70	$32.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $18.20 / $45.71	Professional		$11.48	$18.20	$45.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $19.50 / $85.11	Facility		$12.02	$19.50	$85.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $19.05 / $89.13	Professional		$11.22	$19.05	$89.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $19.95 / $26.92	Professional		$18.62	$19.95	$26.92
Midlands Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $18.62 / $28.18	Professional		$14.79	$18.62	$28.18
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,398.83 / $6,606.93	Facility		$1,659.59	$2,398.83	$6,606.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $21.38 / $28.18	Professional		$11.75	$21.38	$28.18
United Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $15.49 / $26.30	Professional		$10.72	$15.49	$26.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $18.20 / $21.38	Professional		$14.13	$18.20	$21.38