Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.25 / $33.29 / $135.36	Facility		$7.25	$33.29	$135.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.66 / $7.71 / $30.54	Professional		$3.66	$7.71	$30.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.70 / $9.14 / $11.42	Professional		$5.70	$9.14	$11.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4.75 / $8.31 / $24.25	Professional		$4.75	$8.31	$24.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.75 / $8.98 / $49.76	Facility		$4.75	$8.98	$49.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.75 / $6.64 / $12.19	Professional		$4.75	$6.64	$12.19
Midlands Facility/Professional Facility Modifier Low / Median / High Price $5.81 / $9.67 / $14.89	Facility		$5.81	$9.67	$14.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5.70 / $9.67 / $13.61	Professional		$5.70	$9.67	$13.61
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $48.91 / $48.91 / $48.91	Facility		$48.91	$48.91	$48.91
United Facility/Professional Professional Modifier Low / Median / High Price $4.75 / $4.75 / $10.40	Professional		$4.75	$4.75	$10.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3.75 / $4.75 / $4.75	Professional		$3.75	$4.75	$4.75