Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $44.67 / $154.88	Facility		$4.79	$44.67	$154.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $4.07 / $18.20	Professional		$2.00	$4.07	$18.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.45 / $2.63 / $3.02	Professional		$2.45	$2.63	$3.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1.58 / $2.40 / $41.69	Professional		$1.58	$2.40	$41.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.88 / $21.88 / $91.20	Facility		$2.88	$21.88	$91.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.45 / $4.27	Professional		$2.00	$2.45	$4.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.16 / $3.16	Professional		$3.02	$3.16	$3.16
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $6,456.54 / $12,882.50	Facility		$977.24	$6,456.54	$12,882.50
United Facility/Professional Facility Modifier Low / Median / High Price $3.80 / $3.80 / $3.80	Facility		$3.80	$3.80	$3.80
United Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $2.40 / $2.45	Professional		$2.40	$2.40	$2.45
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $2.40 / $2.40 / $2.40	Facility		$2.40	$2.40	$2.40