Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.86 / $30.68 / $38.49	Facility		$12.86	$30.68	$38.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.69 / $9.39 / $12.75	Professional		$8.69	$9.39	$12.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.26 / $11.26 / $11.26	Facility		$11.26	$11.26	$11.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.24 / $21.72 / $27.15	Professional		$9.24	$21.72	$27.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $9.88 / $13.24 / $68.59	Professional		$9.88	$13.24	$68.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.10 / $16.43 / $70.00	Facility		$10.10	$16.43	$70.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.39 / $15.16 / $50.12	Professional		$9.39	$15.16	$50.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $16.43 / $20.64 / $32.83	Facility		$16.43	$20.64	$32.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $18.64 / $20.64 / $32.83	Professional		$18.64	$20.64	$32.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $9.42 / $12.30 / $18.05	Professional		$9.42	$12.30	$18.05
United Facility/Professional Professional Modifier Low / Median / High Price $10.13 / $12.38 / $30.72	Professional		$10.13	$12.38	$30.72
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $14.14 / $17.89 / $21.00	Professional		$14.14	$17.89	$21.00