Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.21 / $28.73 / $120.00	Facility		$17.21	$28.73	$120.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.06 / $9.06 / $75.68	Professional		$9.06	$9.06	$75.68
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 $11.77 / $17.07 / $93.75	Professional		$11.77	$17.07	$93.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.77 / $15.30 / $35.43	Facility		$11.77	$15.30	$35.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.87 / $11.77 / $29.77	Professional		$5.87	$11.77	$29.77
Midlands Facility/Professional Facility Modifier Low / Median / High Price $14.43 / $19.16 / $32.14	Facility		$14.43	$19.16	$32.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $14.12 / $21.20 / $30.72	Professional		$14.12	$21.20	$30.72
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $144.84 / $144.84 / $144.84	Facility		$144.84	$144.84	$144.84
United Facility/Professional Professional Modifier Low / Median / High Price $5.87 / $7.06 / $53.05	Professional		$5.87	$7.06	$53.05
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $9.30 / $11.77 / $11.77	Professional		$9.30	$11.77	$11.77