Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.96 / $13.96 / $16.44	Facility		$13.96	$13.96	$16.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.10 / $13.48 / $41.89	Professional		$11.10	$13.48	$41.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $25.75 / $53.23	Professional		$15.49	$25.75	$53.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.79 / $20.72 / $38.34	Professional		$12.79	$20.72	$38.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.43 / $18.86 / $27.68	Facility		$11.43	$18.86	$27.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $16.03 / $25.94 / $80.58	Professional		$16.03	$25.94	$80.58
Midlands Facility/Professional Facility Modifier Low / Median / High Price $17.21 / $25.75 / $30.57	Facility		$17.21	$25.75	$30.57
Midlands Facility/Professional Professional Modifier Low / Median / High Price $17.21 / $25.75 / $33.70	Professional		$17.21	$25.75	$33.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.65 / $20.80 / $27.65	Professional		$11.65	$20.80	$27.65
United Facility/Professional Professional Modifier Low / Median / High Price $15.30 / $22.07 / $33.83	Professional		$15.30	$22.07	$33.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $15.30 / $18.00 / $21.30	Professional		$15.30	$18.00	$21.30