Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.03 / $18.57 / $56.50	Facility		$9.03	$18.57	$56.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.05 / $10.19 / $49.00	Professional		$6.05	$10.19	$49.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.09 / $14.36 / $17.95	Professional		$9.09	$14.36	$17.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $7.86 / $13.76 / $31.12	Professional		$7.86	$13.76	$31.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.86 / $13.18 / $37.59	Facility		$7.86	$13.18	$37.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.72 / $8.10 / $21.69	Professional		$4.72	$8.10	$21.69
Midlands Facility/Professional Facility Modifier Low / Median / High Price $9.63 / $16.00 / $24.64	Facility		$9.63	$16.00	$24.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $9.44 / $16.00 / $22.53	Professional		$9.44	$16.00	$22.53
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $262.70 / $262.70 / $262.70	Facility		$262.70	$262.70	$262.70
United Facility/Professional Professional Modifier Low / Median / High Price $4.72 / $6.59 / $18.07	Professional		$4.72	$6.59	$18.07
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $6.21 / $7.86 / $7.86	Professional		$6.21	$7.86	$7.86