Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.29 / $22.56 / $34.69	Facility		$10.29	$22.56	$34.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.30 / $7.35 / $25.80	Professional		$6.30	$7.35	$25.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.15 / $17.63 / $22.03	Professional		$11.15	$17.63	$22.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $16.71 / $37.00	Professional		$9.55	$16.71	$37.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $13.69 / $40.03	Facility		$9.55	$13.69	$40.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.73 / $9.55 / $23.52	Professional		$5.73	$9.55	$23.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $17.50 / $28.64	Facility		$10.00	$17.50	$28.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $11.46 / $17.50 / $24.93	Professional		$11.46	$17.50	$24.93
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $128.94 / $128.94 / $128.94	Facility		$128.94	$128.94	$128.94
United Facility/Professional Professional Modifier Low / Median / High Price $5.73 / $6.67 / $21.97	Professional		$5.73	$6.67	$21.97
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $7.54 / $9.55 / $9.55	Professional		$7.54	$9.55	$9.55