Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.63 / $17.18 / $76.03	Facility		$10.63	$17.18	$76.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.60 / $8.71 / $17.18	Professional		$5.60	$8.71	$17.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.46 / $5.28 / $5.58	Professional		$4.46	$5.28	$5.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4.82 / $5.60 / $11.38	Professional		$4.82	$5.60	$11.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.88 / $8.77 / $48.10	Facility		$4.88	$8.77	$48.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.51 / $5.19 / $7.00	Professional		$4.51	$5.19	$7.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3.45 / $5.30 / $7.00	Facility		$3.45	$5.30	$7.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3.41 / $5.28 / $7.67	Professional		$3.41	$5.28	$7.67
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $971.14 / $7,186.43 / $12,412.91	Facility		$971.14	$7,186.43	$12,412.91
United Facility/Professional Professional Modifier Low / Median / High Price $5.60 / $5.60 / $5.77	Professional		$5.60	$5.60	$5.77
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $5.19 / $5.19 / $5.19	Facility		$5.19	$5.19	$5.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5.19 / $5.19 / $5.19	Professional		$5.19	$5.19	$5.19