Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.57 / $15.06 / $68.37	Facility		$5.57	$15.06	$68.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.29 / $5.57 / $14.08	Professional		$4.29	$5.57	$14.08
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 $5.57 / $9.75 / $32.89	Professional		$5.57	$9.75	$32.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.57 / $9.36 / $26.67	Facility		$5.57	$9.36	$26.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.34 / $5.57 / $14.54	Professional		$3.34	$5.57	$14.54
Midlands Facility/Professional Facility Modifier Low / Median / High Price $6.83 / $11.36 / $17.46	Facility		$6.83	$11.36	$17.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6.69 / $11.36 / $15.98	Professional		$6.69	$11.36	$15.98
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $53.30 / $53.30 / $53.30	Facility		$53.30	$53.30	$53.30
United Facility/Professional Professional Modifier Low / Median / High Price $3.34 / $4.68 / $12.81	Professional		$3.34	$4.68	$12.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4.40 / $5.57 / $5.57	Professional		$4.40	$5.57	$5.57