Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.27 / $9.33 / $56.23	Facility		$4.27	$9.33	$56.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $4.27 / $30.20	Professional		$2.00	$4.27	$30.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $6.92 / $8.71	Professional		$4.37	$6.92	$8.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $7.41 / $22.39	Professional		$3.63	$7.41	$22.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $4.68 / $11.22	Facility		$3.63	$4.68	$11.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.19 / $3.63 / $8.32	Professional		$2.19	$3.63	$8.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $4.68 / $4.68	Professional		$3.63	$4.68	$4.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $3.63 / $3.63	Facility		$3.63	$3.63	$3.63
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $10.96 / $10.96	Facility		$10.96	$10.96	$10.96
United Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $3.63 / $7.94	Facility		$3.63	$3.63	$7.94
United Facility/Professional Professional Modifier Low / Median / High Price $2.19 / $2.51 / $8.32	Professional		$2.19	$2.51	$8.32
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2.88 / $3.63 / $3.63	Professional		$2.88	$3.63	$3.63