Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.45 / $11.45 / $11.45	Facility		$11.45	$11.45	$11.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.11 / $6.88 / $27.50	Professional		$4.11	$6.88	$27.50
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $10.41 / $10.41 / $10.41	Professional	25	$10.41	$10.41	$10.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $8.73 / $12.93	Professional		$3.00	$8.73	$12.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3.59 / $4.73 / $13.35	Professional		$3.59	$4.73	$13.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.11 / $6.21 / $12.44	Facility		$4.11	$6.21	$12.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.07 / $10.31 / $29.81	Professional		$5.07	$10.31	$29.81
Midlands Facility/Professional Facility Modifier Low / Median / High Price $8.24 / $10.31 / $12.50	Facility		$8.24	$10.31	$12.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $7.88 / $10.24 / $12.61	Professional		$7.88	$10.24	$12.61
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $35.90 / $35.90 / $35.90	Facility		$35.90	$35.90	$35.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.30 / $7.12 / $9.61	Professional		$4.30	$7.12	$9.61
United Facility/Professional Professional Modifier Low / Median / High Price $4.84 / $8.19 / $12.00	Professional		$4.84	$8.19	$12.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $7.60 / $7.60 / $9.00	Professional		$7.60	$7.60	$9.00