Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.80 / $24.57 / $52.61	Facility		$9.80	$24.57	$52.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $7.00 / $9.00	Professional		$6.00	$7.00	$9.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.33 / $16.32 / $20.39	Professional		$10.33	$16.32	$20.39
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $9.09 / $15.91 / $62.91	Professional		$9.09	$15.91	$62.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.09 / $14.06 / $40.03	Facility		$9.09	$14.06	$40.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.45 / $9.32 / $23.44	Professional		$5.45	$9.32	$23.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $10.28 / $17.09 / $28.50	Facility		$10.28	$17.09	$28.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $10.91 / $17.09 / $23.72	Professional		$10.91	$17.09	$23.72
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $143.21 / $143.21 / $143.21	Facility		$143.21	$143.21	$143.21
United Facility/Professional Professional Modifier Low / Median / High Price $5.45 / $5.45 / $20.91	Professional		$5.45	$5.45	$20.91
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $7.18 / $9.09 / $9.09	Professional		$7.18	$9.09	$9.09