Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $48.98 / $48.98	Facility		$14.13	$48.98	$48.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $14.13 / $18.20	Professional		$10.96	$14.13	$18.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $10.72 / $17.38	Professional		$5.75	$10.72	$17.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $16.98 / $30.20	Professional		$14.79	$16.98	$30.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $14.13 / $20.42	Facility		$5.75	$14.13	$20.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $9.77 / $40.74	Professional		$5.50	$9.77	$40.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $6.61 / $19.50	Professional		$5.75	$6.61	$19.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $6.61 / $6.61	Professional		$6.61	$6.61	$6.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $26.30 / $33.11	Professional		$19.05	$26.30	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $10.47 / $12.30	Facility		$9.33	$10.47	$12.30
United Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $7.59 / $12.88	Professional		$5.01	$7.59	$12.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $18.20 / $18.20	Professional		$14.45	$18.20	$18.20