Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.31 / $9.13 / $25.90	Facility		$5.31	$9.13	$25.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $2.80 / $30.80	Professional		$2.40	$2.80	$30.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.13 / $6.53 / $8.16	Professional		$4.13	$6.53	$8.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3.64 / $6.37 / $14.80	Professional		$3.64	$6.37	$14.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.64 / $5.03 / $14.56	Facility		$3.64	$5.03	$14.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.18 / $3.64 / $8.65	Professional		$2.18	$3.64	$8.65
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3.67 / $6.68 / $11.19	Facility		$3.67	$6.68	$11.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $6.68 / $9.50	Professional		$4.37	$6.68	$9.50
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $10.95 / $10.95 / $10.95	Facility		$10.95	$10.95	$10.95
United Facility/Professional Facility Modifier Low / Median / High Price $3.64 / $3.64 / $8.36	Facility		$3.64	$3.64	$8.36
United Facility/Professional Professional Modifier Low / Median / High Price $2.18 / $2.18 / $8.36	Professional		$2.18	$2.18	$8.36
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2.88 / $3.64 / $3.64	Professional		$2.88	$3.64	$3.64