Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $21.38 / $48.98	Facility		$8.91	$21.38	$48.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $12.88 / $67.61	Professional		$8.91	$12.88	$67.61
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $6.03 / $10.00 / $25.70	Professional	CQ	$6.03	$10.00	$25.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $64.57	Facility		$50.12	$50.12	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.14 / $23.44	Professional		$12.02	$15.14	$23.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $20.89 / $43.65	Professional		$13.49	$20.89	$43.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $19.95 / $100.00	Facility		$10.47	$19.95	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $19.05 / $50.12	Professional		$12.30	$19.05	$50.12
Midlands Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $21.88 / $25.12	Professional		$18.20	$21.88	$25.12
Midlands Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $17.78 / $25.12	Professional		$17.78	$17.78	$25.12
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Facility		$61.66	$61.66	$61.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $19.05 / $30.20	Professional		$14.13	$19.05	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $15.85 / $22.39	Facility		$14.45	$15.85	$22.39
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $13.80 / $25.70	Professional		$12.30	$13.80	$25.70
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $21.38	Professional		$18.20	$18.20	$21.38