Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.45 / $27.29 / $43.31	Facility		$12.45	$27.29	$43.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.62 / $8.89 / $13.40	Professional		$7.62	$8.89	$13.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.22 / $20.89 / $26.11	Professional		$13.22	$20.89	$26.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $11.54 / $20.20 / $30.31	Professional		$11.54	$20.20	$30.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.54 / $15.59 / $49.71	Facility		$11.54	$15.59	$49.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.54 / $14.24 / $28.46	Professional		$11.54	$14.24	$28.46
Midlands Facility/Professional Facility Modifier Low / Median / High Price $12.48 / $21.15 / $36.09	Facility		$12.48	$21.15	$36.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $13.85 / $21.15 / $30.12	Professional		$13.85	$21.15	$30.12
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $336.37 / $336.37 / $336.37	Facility		$336.37	$336.37	$336.37
United Facility/Professional Professional Modifier Low / Median / High Price $11.54 / $11.54 / $45.95	Professional		$11.54	$11.54	$45.95
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $9.11 / $11.54 / $11.54	Professional		$9.11	$11.54	$11.54