Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.64 / $17.23 / $88.43	Facility		$2.64	$17.23	$88.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.39 / $5.04 / $13.83	Professional		$1.39	$5.04	$13.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.61 / $1.89 / $2.02	Professional		$1.61	$1.89	$2.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1.39 / $2.52 / $17.07	Professional		$1.39	$2.52	$17.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.79 / $3.00 / $24.02	Facility		$1.79	$3.00	$24.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.49 / $1.49 / $3.18	Professional		$1.49	$1.49	$3.18
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1.79 / $1.97 / $3.31	Facility		$1.79	$1.97	$3.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1.79 / $2.52 / $6.24	Professional		$1.79	$2.52	$6.24
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $810.18 / $3,670.45 / $6,339.85	Facility		$810.18	$3,670.45	$6,339.85
United Facility/Professional Professional Modifier Low / Median / High Price $1.39 / $1.39 / $1.43	Professional		$1.39	$1.39	$1.43
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1.49 / $1.49 / $1.49	Facility		$1.49	$1.49	$1.49
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1.49 / $1.49 / $1.49	Professional		$1.49	$1.49	$1.49