Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $14.79 / $21.38	Facility		$5.01	$14.79	$21.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $6.03 / $8.91	Professional		$5.01	$6.03	$8.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $15.14 / $19.05	Professional		$9.33	$15.14	$19.05
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $13.18 / $19.50	Professional		$7.76	$13.18	$19.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $9.55 / $19.95	Facility		$7.76	$9.55	$19.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $9.33 / $27.54	Professional		$4.57	$9.33	$27.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $9.33 / $10.00	Professional		$6.46	$9.33	$10.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $6.46 / $6.46	Facility		$6.46	$6.46	$6.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $8.32 / $16.60	Professional		$7.76	$8.32	$16.60
United Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $7.76 / $16.98	Facility		$7.76	$7.76	$16.98
United Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $4.68 / $17.78	Professional		$4.37	$4.68	$17.78
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $7.76 / $7.76	Professional		$7.76	$7.76	$7.76