Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.14 / $13.29 / $85.70	Facility		$7.14	$13.29	$85.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.22 / $3.76 / $20.00	Professional		$3.22	$3.76	$20.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.78 / $9.14 / $11.42	Professional		$5.78	$9.14	$11.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4.88 / $8.53 / $12.89	Professional		$4.88	$8.53	$12.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.88 / $8.19 / $23.06	Facility		$4.88	$8.19	$23.06
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.93 / $5.03 / $12.74	Professional		$2.93	$5.03	$12.74
Midlands Facility/Professional Facility Modifier Low / Median / High Price $5.99 / $9.97 / $15.30	Facility		$5.99	$9.97	$15.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5.86 / $9.97 / $14.07	Professional		$5.86	$9.97	$14.07
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $825.88 / $825.88 / $825.88	Facility		$825.88	$825.88	$825.88
United Facility/Professional Professional Modifier Low / Median / High Price $2.93 / $4.09 / $11.84	Professional		$2.93	$4.09	$11.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3.86 / $4.88 / $4.88	Professional		$3.86	$4.88	$4.88