Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.97 / $17.38 / $60.00	Facility		$16.97	$17.38	$60.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.15 / $13.00 / $69.00	Professional		$9.15	$13.00	$69.00
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $6.05 / $8.48 / $24.75	Professional	CQ	$6.05	$8.48	$24.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $65.00	Facility		$50.00	$50.00	$65.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.12 / $15.39 / $90.08	Professional		$12.12	$15.39	$90.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $20.78 / $37.40	Professional		$13.49	$20.78	$37.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $21.93 / $100.00	Facility		$9.33	$21.93	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.36 / $14.74 / $44.04	Professional		$12.36	$14.74	$44.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $18.21 / $22.18 / $28.09	Facility		$18.21	$22.18	$28.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $22.18 / $32.78	Professional		$18.00	$22.18	$32.78
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $61.10 / $61.10 / $61.10	Facility		$61.10	$61.10	$61.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $13.84 / $18.71 / $26.33	Professional		$13.84	$18.71	$26.33
United Facility/Professional Professional Modifier Low / Median / High Price $12.23 / $14.39 / $25.26	Professional		$12.23	$14.39	$25.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $18.30 / $18.30 / $21.60	Professional		$18.30	$18.30	$21.60