Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.95 / $25.62 / $62.70	Facility		$11.95	$25.62	$62.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.09 / $12.94 / $75.00	Professional		$11.09	$12.94	$75.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.41 / $30.68 / $38.35	Professional		$19.41	$30.68	$38.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16.80 / $29.33 / $31.64	Professional		$16.80	$29.33	$31.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.80 / $21.75 / $58.23	Facility		$16.80	$21.75	$58.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.06 / $16.80 / $36.84	Professional		$10.06	$16.80	$36.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $14.69 / $30.82 / $43.59	Facility		$14.69	$30.82	$43.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $18.14 / $28.89 / $43.59	Professional		$18.14	$28.89	$43.59
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $93.73 / $510.36 / $881.52	Facility		$93.73	$510.36	$881.52
United Facility/Professional Professional Modifier Low / Median / High Price $10.06 / $10.09 / $33.50	Professional		$10.06	$10.09	$33.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $13.28 / $16.80 / $16.80	Professional		$13.28	$16.80	$16.80