Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.05 / $28.61 / $51.46	Facility		$13.05	$28.61	$51.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.99 / $9.32 / $77.87	Professional		$7.99	$9.32	$77.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.70 / $21.54 / $26.93	Professional		$10.70	$21.54	$26.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.11 / $29.61 / $103.93	Professional		$12.11	$29.61	$103.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.32 / $18.53 / $33.76	Facility		$9.32	$18.53	$33.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.27 / $10.61 / $89.25	Professional		$7.27	$10.61	$89.25
Midlands Facility/Professional Facility Modifier Low / Median / High Price $14.53 / $24.66 / $37.96	Facility		$14.53	$24.66	$37.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $14.55 / $24.95 / $35.52	Professional		$14.55	$24.95	$35.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $12.11 / $14.50 / $27.20	Professional		$12.11	$14.50	$27.20
United Facility/Professional Professional Modifier Low / Median / High Price $5.09 / $7.27 / $16.89	Professional		$5.09	$7.27	$16.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $9.57 / $12.11 / $12.11	Professional		$9.57	$12.11	$12.11