Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $6.03 / $6.03	Facility		$6.03	$6.03	$6.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $10.96 / $50.12	Professional		$3.98	$10.96	$50.12
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $10.00 / $10.47 / $34.67	Professional	25	$10.00	$10.47	$34.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $6.61 / $14.13	Professional		$3.02	$6.61	$14.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $4.68 / $13.49	Professional		$3.63	$4.68	$13.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.07 / $6.03 / $11.75	Facility		$4.07	$6.03	$11.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $10.00 / $29.51	Professional		$5.01	$10.00	$29.51
Midlands Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $10.23 / $12.59	Professional		$9.55	$10.23	$12.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $5.89 / $12.59	Professional		$5.89	$5.89	$12.59
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Facility		$36.31	$36.31	$36.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $8.51 / $11.48	Professional		$4.79	$8.51	$11.48
United Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $7.59 / $12.02	Professional		$5.01	$7.59	$12.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $7.59 / $8.91	Professional		$7.08	$7.59	$8.91