Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.02 / $14.02 / $152.80	Facility		$14.02	$14.02	$152.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.38 / $11.36 / $63.73	Professional		$7.38	$11.36	$63.73
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $6.47 / $26.65 / $27.98	Professional	CQ	$6.47	$26.65	$27.98
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 $9.86 / $12.33 / $22.18	Professional		$9.86	$12.33	$22.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $10.94 / $18.21 / $33.69	Professional		$10.94	$18.21	$33.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.53 / $20.75 / $100.00	Facility		$7.53	$20.75	$100.00
Medica Facility/Professional Facility Modifier CQ Low / Median / High Price $22.63 / $48.48 / $48.48	Facility	CQ	$22.63	$48.48	$48.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.11 / $14.90 / $51.82	Professional		$10.11	$14.90	$51.82
Midlands Facility/Professional Facility Modifier Low / Median / High Price $14.90 / $21.09 / $36.02	Facility		$14.90	$21.09	$36.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $16.87 / $21.49 / $37.65	Professional		$16.87	$21.49	$37.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.34 / $15.48 / $21.67	Professional		$11.34	$15.48	$21.67
United Facility/Professional Professional Modifier Low / Median / High Price $10.11 / $11.89 / $25.67	Professional		$10.11	$11.89	$25.67
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $15.00 / $17.60	Professional		$15.00	$15.00	$17.60