Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.14 / $26.14 / $28.50	Facility		$26.14	$26.14	$28.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.28 / $12.75 / $14.21	Professional		$11.28	$12.75	$14.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.34 / $17.60 / $48.82	Professional		$7.34	$17.60	$48.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $9.36 / $14.65 / $25.64	Professional		$9.36	$14.65	$25.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.27 / $15.73 / $36.29	Facility		$9.27	$15.73	$36.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $16.67 / $100.00	Professional		$13.00	$16.67	$100.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $7.50 / $24.58 / $30.18	Facility		$7.50	$24.58	$30.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $9.72 / $19.05 / $32.10	Professional		$9.72	$19.05	$32.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $14.25 / $17.14 / $29.89	Professional		$14.25	$17.14	$29.89
United Facility/Professional Professional Modifier Low / Median / High Price $14.65 / $14.65 / $29.30	Professional		$14.65	$14.65	$29.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $14.65 / $14.65 / $14.65	Professional		$14.65	$14.65	$14.65