Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.46 / $24.11 / $135.15	Facility		$4.46	$24.11	$135.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.35 / $3.05 / $19.61	Professional		$2.35	$3.05	$19.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.30 / $5.22 / $6.53	Professional		$3.30	$5.22	$6.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3.05 / $5.34 / $22.88	Professional		$3.05	$5.34	$22.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.05 / $5.79 / $25.73	Facility		$3.05	$5.79	$25.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.05 / $4.24 / $7.84	Professional		$3.05	$4.24	$7.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3.73 / $6.22 / $9.56	Facility		$3.73	$6.22	$9.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3.67 / $6.22 / $8.77	Professional		$3.67	$6.22	$8.77
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $11.12 / $11.12 / $11.12	Facility		$11.12	$11.12	$11.12
United Facility/Professional Professional Modifier Low / Median / High Price $3.05 / $3.05 / $6.68	Professional		$3.05	$3.05	$6.68
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2.41 / $3.05 / $3.05	Professional		$2.41	$3.05	$3.05