Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.36 / $6.81 / $8.69	Professional		$6.36	$6.81	$8.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.25 / $10.31 / $10.68	Professional		$8.25	$10.31	$10.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $35.47 / $35.47 / $35.47	Professional		$35.47	$35.47	$35.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.15 / $90.00 / $90.00	Facility		$9.15	$90.00	$90.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.19 / $8.22 / $16.89	Professional		$7.19	$8.22	$16.89
Midlands Facility/Professional Facility Modifier Low / Median / High Price $9.15 / $10.68 / $16.92	Facility		$9.15	$10.68	$16.92
Midlands Facility/Professional Professional Modifier Low / Median / High Price $8.92 / $12.05 / $18.41	Professional		$8.92	$12.05	$18.41
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $14,648.60 / $14,648.60 / $14,648.60	Facility		$14,648.60	$14,648.60	$14,648.60
United Facility/Professional Professional Modifier Low / Median / High Price $7.19 / $7.73 / $11.32	Professional		$7.19	$7.73	$11.32
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $1.00	Professional		$1.00	$1.00	$1.00