Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.68 / $100.20 / $737.91	Facility		$6.68	$100.20	$737.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $71.97 / $600.00	Professional		$3.02	$71.97	$600.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.50 / $5.29 / $5.63	Professional		$4.50	$5.29	$5.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $123.00	Professional		$3.02	$3.02	$123.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.57 / $11.22 / $87.27	Facility		$4.57	$11.22	$87.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.89 / $2.89 / $73.43	Professional		$2.89	$2.89	$73.43
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3.47 / $5.29 / $73.43	Facility		$3.47	$5.29	$73.43
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $63.51 / $116.37	Professional		$3.47	$63.51	$116.37
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,769.89 / $5,959.60 / $10,293.85	Facility		$1,769.89	$5,959.60	$10,293.85
United Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $3.11	Professional		$3.02	$3.02	$3.11
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $2.89 / $2.89 / $2.89	Facility		$2.89	$2.89	$2.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2.89 / $2.89 / $2.89	Professional		$2.89	$2.89	$2.89