Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $26.92 / $39.81	Facility		$7.94	$26.92	$39.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $8.91 / $20.89	Professional		$7.94	$8.91	$20.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $11.22 / $11.22	Facility		$11.22	$11.22	$11.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $22.39 / $27.54	Professional		$12.30	$22.39	$27.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $14.79 / $69.18	Professional		$9.77	$14.79	$69.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $19.50 / $70.79	Facility		$9.77	$19.50	$70.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $15.14 / $64.57	Professional		$8.71	$15.14	$64.57
Midlands Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $23.44 / $25.12	Professional		$16.60	$23.44	$25.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $11.22 / $11.22	Facility		$11.22	$11.22	$11.22
Midlands Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $22.91 / $38.90	Professional		$19.50	$22.91	$38.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.96 / $21.38	Professional		$10.00	$10.96	$21.38
United Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $14.13 / $20.89	Facility		$14.13	$14.13	$20.89
United Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $12.30 / $30.90	Professional		$8.51	$12.30	$30.90
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $17.78 / $20.89	Professional		$17.78	$17.78	$20.89