Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $20.89 / $870.96	Facility		$9.55	$20.89	$870.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $9.33 / $38.90	Professional		$7.41	$9.33	$38.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $13.18 / $13.18	Facility		$13.18	$13.18	$13.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $17.38 / $21.88	Professional		$12.02	$17.38	$21.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $11.48 / $43.65	Professional		$7.59	$11.48	$43.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $17.38 / $30.90	Facility		$8.13	$17.38	$30.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $17.38 / $77.62	Professional		$9.33	$17.38	$77.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $19.95 / $20.89	Professional		$16.60	$19.95	$20.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.38 / $21.88	Professional		$17.38	$17.38	$21.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $15.14 / $19.50	Professional		$8.32	$15.14	$19.50
United Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $13.18 / $23.44	Professional		$9.12	$13.18	$23.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $15.85 / $18.62	Professional		$12.59	$15.85	$18.62