Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $14.13 / $14.13	Facility		$14.13	$14.13	$14.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $20.89 / $67.61	Professional		$8.91	$20.89	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $19.05 / $35.48	Professional		$14.45	$19.05	$35.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $12.59 / $61.66	Professional		$9.12	$12.59	$61.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $14.45 / $87.10	Facility		$9.55	$14.45	$87.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $19.95 / $331.13	Professional		$11.22	$19.95	$331.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $19.05 / $28.84	Professional		$18.20	$19.05	$28.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $17.78 / $23.99	Professional		$9.55	$17.78	$23.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $22.91 / $27.54	Professional		$19.95	$22.91	$27.54
United Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $15.14 / $24.55	Professional		$10.23	$15.14	$24.55
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $19.05 / $22.39	Professional		$17.78	$19.05	$22.39