Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.03 / $23.52 / $33.36	Facility		$13.03	$23.52	$33.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.98 / $10.52 / $11.73	Professional		$7.98	$10.52	$11.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.63 / $21.54 / $26.93	Professional		$13.63	$21.54	$26.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.09 / $16.59 / $106.09	Professional		$12.09	$16.59	$106.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.97 / $15.72 / $30.95	Facility		$11.97	$15.72	$30.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.85 / $14.74 / $43.69	Professional		$8.85	$14.74	$43.69
Midlands Facility/Professional Facility Modifier Low / Median / High Price $13.75 / $21.76 / $26.49	Facility		$13.75	$21.76	$26.49
Midlands Facility/Professional Professional Modifier Low / Median / High Price $13.75 / $21.76 / $27.72	Professional		$13.75	$21.76	$27.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.76 / $12.09 / $21.58	Professional		$11.76	$12.09	$21.58
United Facility/Professional Professional Modifier Low / Median / High Price $8.63 / $12.09 / $26.36	Professional		$8.63	$12.09	$26.36
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $12.09 / $12.09 / $12.09	Professional		$12.09	$12.09	$12.09