Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $17.38 / $60.00	Facility		$17.38	$17.38	$60.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.15 / $14.10 / $75.00	Professional		$9.15	$14.10	$75.00
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $6.24 / $10.40 / $76.51	Professional	CQ	$6.24	$10.40	$76.51
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 / $17.05 / $90.08	Professional		$12.12	$17.05	$90.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $19.09 / $28.99	Professional		$13.49	$19.09	$28.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.17 / $22.52 / $100.00	Facility		$10.17	$22.52	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.25 / $15.44 / $52.51	Professional		$12.25	$15.44	$52.51
Midlands Facility/Professional Facility Modifier Low / Median / High Price $18.21 / $24.70 / $29.72	Facility		$18.21	$24.70	$29.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $18.21 / $24.89 / $38.22	Professional		$18.21	$24.89	$38.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $13.98 / $18.71 / $26.33	Professional		$13.98	$18.71	$26.33
United Facility/Professional Professional Modifier Low / Median / High Price $12.25 / $14.41 / $27.56	Professional		$12.25	$14.41	$27.56
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $18.30 / $18.30 / $21.60	Professional		$18.30	$18.30	$21.60