Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.99 / $23.45 / $51.00	Facility		$12.99	$23.45	$51.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.95 / $9.27 / $9.27	Professional		$7.95	$9.27	$9.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.63 / $21.54 / $26.93	Professional		$13.63	$21.54	$26.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.26 / $18.07 / $80.83	Professional		$13.26	$18.07	$80.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.05 / $15.55 / $46.26	Facility		$12.05	$15.55	$46.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.23 / $7.23 / $27.72	Professional		$7.23	$7.23	$27.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $14.48 / $21.09 / $46.26	Facility		$14.48	$21.09	$46.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $14.46 / $21.09 / $26.41	Professional		$14.46	$21.09	$26.41
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $386.13 / $386.13 / $386.13	Facility		$386.13	$386.13	$386.13
United Facility/Professional Professional Modifier Low / Median / High Price $7.23 / $7.23 / $26.27	Professional		$7.23	$7.23	$26.27
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $9.52 / $12.05 / $12.05	Professional		$9.52	$12.05	$12.05