Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.11 / $9.60 / $226.60	Facility		$6.11	$9.60	$226.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.22 / $58.87 / $218.03	Professional		$3.22	$58.87	$218.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.56 / $3.80 / $4.45	Professional		$3.56	$3.80	$4.45
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1.73 / $3.22 / $13.87	Professional		$1.73	$3.22	$13.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $4.99 / $9.60	Facility		$1.00	$4.99	$9.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $4.34 / $6.79	Professional		$3.55	$4.34	$6.79
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $4.74 / $6.21	Facility		$1.00	$4.74	$6.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2.98 / $4.74 / $6.79	Professional		$2.98	$4.74	$6.79
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,546.50 / $8,474.95 / $14,638.56	Facility		$1,546.50	$8,474.95	$14,638.56
United Facility/Professional Professional Modifier Low / Median / High Price $3.22 / $3.32 / $4.47	Professional		$3.22	$3.32	$4.47
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $3.95 / $3.95 / $3.95	Facility		$3.95	$3.95	$3.95
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3.95 / $3.95 / $3.95	Professional		$3.95	$3.95	$3.95