Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.92 / $12.99 / $20.17	Facility		$5.92	$12.99	$20.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.62 / $4.23 / $4.23	Professional		$3.62	$4.23	$4.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.20 / $9.78 / $12.24	Professional		$6.20	$9.78	$12.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $5.49 / $9.61 / $17.68	Professional		$5.49	$9.61	$17.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.49 / $7.97 / $23.06	Facility		$5.49	$7.97	$23.06
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.29 / $5.49 / $13.67	Professional		$3.29	$5.49	$13.67
Midlands Facility/Professional Facility Modifier Low / Median / High Price $5.81 / $10.06 / $16.20	Facility		$5.81	$10.06	$16.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6.38 / $9.88 / $14.33	Professional		$6.38	$9.88	$14.33
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 $3.29 / $3.29 / $12.63	Professional		$3.29	$3.29	$12.63
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4.34 / $5.49 / $5.49	Professional		$4.34	$5.49	$5.49