Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.94 / $10.30 / $11,897.03	Facility		$5.94	$10.30	$11,897.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.13 / $10.30 / $143.81	Professional		$3.13	$10.30	$143.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.04 / $3.39 / $4.94	Professional		$3.04	$3.39	$4.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3.13 / $10.50 / $174.47	Professional		$3.13	$10.50	$174.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.96 / $5.03 / $34.65	Facility		$2.96	$5.03	$34.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.96 / $3.55 / $502.47	Professional		$2.96	$3.55	$502.47
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3.57 / $4.41 / $9.25	Facility		$3.57	$4.41	$9.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3.57 / $4.68 / $11.94	Professional		$3.57	$4.68	$11.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.59 / $6.41 / $27.40	Professional		$3.59	$6.41	$27.40
United Facility/Professional Professional Modifier Low / Median / High Price $3.13 / $3.36 / $38.36	Professional		$3.13	$3.36	$38.36
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $3.24 / $3.24 / $3.24	Facility		$3.24	$3.24	$3.24
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2.56 / $3.24 / $3.24	Professional		$2.56	$3.24	$3.24