Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $10.47 / $15.85	Facility		$3.98	$10.47	$15.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $3.98 / $35.48	Professional		$3.47	$3.98	$35.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $10.23 / $12.88	Professional		$6.61	$10.23	$12.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $10.00 / $19.95	Professional		$5.50	$10.00	$19.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $7.08 / $16.22	Facility		$5.50	$7.08	$16.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $5.75 / $13.18	Professional		$3.31	$5.75	$13.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $7.08 / $7.08	Professional		$5.75	$7.08	$7.08
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 $128.82 / $128.82 / $128.82	Facility		$128.82	$128.82	$128.82
United Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $5.50 / $12.02	Facility		$5.50	$5.50	$12.02
United Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $3.98 / $12.02	Professional		$3.31	$3.98	$12.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $5.50 / $5.50	Professional		$4.37	$5.50	$5.50