Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.97 / $12.58 / $27.51	Facility		$6.97	$12.58	$27.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.26 / $4.98 / $17.48	Professional		$4.26	$4.98	$17.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.43 / $11.75 / $14.69	Professional		$7.43	$11.75	$14.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $6.47 / $9.71 / $17.07	Professional		$6.47	$9.71	$17.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.47 / $10.85 / $31.50	Facility		$6.47	$10.85	$31.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.88 / $6.66 / $17.73	Professional		$3.88	$6.66	$17.73
Midlands Facility/Professional Facility Modifier Low / Median / High Price $7.93 / $13.16 / $20.28	Facility		$7.93	$13.16	$20.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $7.77 / $13.16 / $18.54	Professional		$7.77	$13.16	$18.54
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $42.08 / $69.43 / $119.92	Facility		$42.08	$69.43	$119.92
United Facility/Professional Professional Modifier Low / Median / High Price $3.88 / $5.42 / $14.88	Professional		$3.88	$5.42	$14.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5.11 / $6.47 / $6.47	Professional		$5.11	$6.47	$6.47