Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.50 / $22.93 / $52.50	Facility		$11.50	$22.93	$52.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.40 / $7.47 / $12.24	Professional		$6.40	$7.47	$12.24
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 $9.69 / $16.98 / $77.70	Professional		$9.69	$16.98	$77.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.69 / $12.79 / $37.04	Facility		$9.69	$12.79	$37.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.82 / $9.99 / $24.53	Professional		$5.82	$9.99	$24.53
Midlands Facility/Professional Facility Modifier Low / Median / High Price $11.65 / $19.52 / $26.60	Facility		$11.65	$19.52	$26.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $11.64 / $19.39 / $25.32	Professional		$11.64	$19.39	$25.32
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $417.24 / $417.24 / $417.24	Facility		$417.24	$417.24	$417.24
United Facility/Professional Professional Modifier Low / Median / High Price $5.82 / $5.95 / $19.92	Professional		$5.82	$5.95	$19.92
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $7.66 / $9.69 / $9.69	Professional		$7.66	$9.69	$9.69