Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.64 / $15.69 / $63.00	Facility		$6.64	$15.69	$63.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.81 / $4.44 / $79.20	Professional		$3.81	$4.44	$79.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $10.44 / $13.06	Professional		$6.61	$10.44	$13.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $5.77 / $10.10 / $48.10	Professional		$5.77	$10.10	$48.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.77 / $9.68 / $27.90	Facility		$5.77	$9.68	$27.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.46 / $5.94 / $15.51	Professional		$3.46	$5.94	$15.51
Midlands Facility/Professional Facility Modifier Low / Median / High Price $7.07 / $11.75 / $18.09	Facility		$7.07	$11.75	$18.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6.94 / $11.75 / $16.53	Professional		$6.94	$11.75	$16.53
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $146.55 / $146.55 / $146.55	Facility		$146.55	$146.55	$146.55
United Facility/Professional Professional Modifier Low / Median / High Price $3.46 / $4.84 / $26.04	Professional		$3.46	$4.84	$26.04
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4.55 / $5.77 / $5.77	Professional		$4.55	$5.77	$5.77