Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $26.30 / $39.81	Facility		$7.94	$26.30	$39.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $8.91 / $29.51	Professional		$7.08	$8.91	$29.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $24.55 / $30.90	Professional		$24.55	$24.55	$30.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $19.50 / $45.71	Professional		$10.96	$19.50	$45.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $14.79 / $28.18	Facility		$10.96	$14.79	$28.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $13.18 / $41.69	Professional		$6.61	$13.18	$41.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.18 / $14.13	Professional		$13.18	$13.18	$14.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.18 / $13.18	Professional		$13.18	$13.18	$13.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $12.02 / $23.44	Professional		$10.96	$12.02	$23.44
United Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $10.96 / $24.55	Facility		$10.96	$10.96	$24.55
United Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $6.61 / $28.18	Professional		$6.61	$6.61	$28.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $10.96 / $10.96	Professional		$8.71	$10.96	$10.96