Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.14 / $3.86 / $47.70	Facility		$2.14	$3.86	$47.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.42 / $1.57 / $3.86	Professional		$1.42	$1.57	$3.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.46 / $1.71 / $1.83	Professional		$1.46	$1.71	$1.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1.42 / $1.42 / $6.58	Professional		$1.42	$1.42	$6.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.71 / $2.40 / $3.86	Facility		$1.71	$2.40	$3.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.42 / $1.42 / $2.67	Professional		$1.42	$1.42	$2.67
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1.70 / $1.72 / $2.21	Facility		$1.70	$1.72	$2.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1.68 / $1.90 / $3.00	Professional		$1.68	$1.90	$3.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $103.41 / $103.41 / $103.41	Facility		$103.41	$103.41	$103.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2.52 / $2.52 / $2.52	Professional		$2.52	$2.52	$2.52
United Facility/Professional Professional Modifier Low / Median / High Price $1.42 / $1.42 / $1.51	Professional		$1.42	$1.42	$1.51
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1.12 / $1.42 / $1.42	Professional		$1.12	$1.42	$1.42