Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $12.88 / $97.72	Facility		$7.08	$12.88	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $8.91 / $33.11	Professional		$3.02	$8.91	$33.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $9.55 / $12.02	Professional		$7.24	$9.55	$12.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $11.75 / $35.48	Professional		$4.79	$11.75	$35.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $8.51 / $50.12	Facility		$4.79	$8.51	$50.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $6.76 / $12.30	Professional		$4.79	$6.76	$12.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $5.75 / $5.75	Professional		$5.75	$5.75	$5.75
Midlands Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $5.75 / $5.75	Facility		$5.75	$5.75	$5.75
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $48.98	Facility		$48.98	$48.98	$48.98
United Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $4.79 / $10.47	Facility		$4.79	$4.79	$10.47
United Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $4.79 / $10.96	Professional		$4.17	$4.79	$10.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3.72 / $4.79 / $4.79	Professional		$3.72	$4.79	$4.79