Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.92 / $49.61 / $132.24	Facility		$12.92	$49.61	$132.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.35 / $8.16 / $12.92	Professional		$7.35	$8.16	$12.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $6.94 / $7.36	Professional		$5.89	$6.94	$7.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $5.88 / $7.35 / $18.82	Professional		$5.88	$7.35	$18.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $10.43 / $44.86	Facility		$1.00	$10.43	$44.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.24 / $6.17 / $11.14	Professional		$5.24	$6.17	$11.14
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $7.40 / $11.83	Facility		$1.00	$7.40	$11.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3.67 / $8.22 / $18.66	Professional		$3.67	$8.22	$18.66
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $656.17 / $2,137.98 / $3,692.86	Facility		$656.17	$2,137.98	$3,692.86
United Facility/Professional Professional Modifier Low / Median / High Price $7.35 / $7.35 / $7.57	Professional		$7.35	$7.35	$7.57
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $6.17 / $6.17 / $6.17	Facility		$6.17	$6.17	$6.17
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $6.17 / $6.17	Professional		$6.17	$6.17	$6.17