Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.36 / $9.36 / $19.21	Facility		$9.36	$9.36	$19.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.62 / $4.95 / $6.22	Professional		$4.62	$4.95	$6.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.77 / $10.88 / $13.59	Professional		$7.77	$10.88	$13.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $18.70 / $18.70 / $18.70	Professional		$18.70	$18.70	$18.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.77 / $18.57 / $195.75	Facility		$7.77	$18.57	$195.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.77 / $8.38 / $13.34	Professional		$6.77	$8.38	$13.34
Midlands Facility/Professional Facility Modifier Low / Median / High Price $6.66 / $7.77 / $12.30	Facility		$6.66	$7.77	$12.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6.51 / $8.76 / $13.40	Professional		$6.51	$8.76	$13.40
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $505.51 / $2,005.38 / $2,776.68	Facility		$505.51	$2,005.38	$2,776.68
United Facility/Professional Professional Modifier Low / Median / High Price $7.16 / $8.38 / $11.98	Professional		$7.16	$8.38	$11.98
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $14.00 / $14.00 / $14.00	Facility		$14.00	$14.00	$14.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $14.00 / $14.00 / $14.00	Professional		$14.00	$14.00	$14.00