Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $12.59 / $47.47	Facility		$6.03	$12.59	$47.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.63 / $5.19 / $38.77	Professional		$4.63	$5.19	$38.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.02 / $11.10 / $13.87	Professional		$7.02	$11.10	$13.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $10.55 / $32.83	Professional		$6.03	$10.55	$32.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $10.11 / $29.10	Facility		$6.03	$10.11	$29.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.62 / $6.21 / $16.63	Professional		$3.62	$6.21	$16.63
Midlands Facility/Professional Facility Modifier Low / Median / High Price $7.39 / $12.28 / $18.89	Facility		$7.39	$12.28	$18.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $12.28 / $17.28	Professional		$7.24	$12.28	$17.28
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $11.21 / $11.21 / $11.21	Facility		$11.21	$11.21	$11.21
United Facility/Professional Professional Modifier Low / Median / High Price $3.62 / $4.01 / $15.25	Professional		$3.62	$4.01	$15.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4.76 / $6.03 / $6.03	Professional		$4.76	$6.03	$6.03