Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.01 / $28.22 / $88.32	Facility		$13.01	$28.22	$88.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.87 / $6.85 / $25.57	Professional		$5.87	$6.85	$25.57
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 $8.90 / $15.58 / $43.17	Professional		$8.90	$15.58	$43.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.90 / $14.06 / $42.45	Facility		$8.90	$14.06	$42.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.34 / $9.17 / $24.56	Professional		$5.34	$9.17	$24.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $10.90 / $18.14 / $27.90	Facility		$10.90	$18.14	$27.90
Midlands Facility/Professional Professional Modifier Low / Median / High Price $10.69 / $18.14 / $25.49	Professional		$10.69	$18.14	$25.49
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $196.27 / $196.27 / $196.27	Facility		$196.27	$196.27	$196.27
United Facility/Professional Facility Modifier Low / Median / High Price $13.35 / $13.35 / $13.35	Facility		$13.35	$13.35	$13.35
United Facility/Professional Professional Modifier Low / Median / High Price $5.34 / $7.56 / $22.51	Professional		$5.34	$7.56	$22.51
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $7.03 / $8.90 / $8.90	Professional		$7.03	$8.90	$8.90