Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $8.91 / $8.91	Facility		$8.91	$8.91	$8.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $8.91 / $12.02	Professional		$6.03	$8.91	$12.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $16.98 / $24.55	Professional		$13.49	$16.98	$24.55
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $46.77 / $151.36	Professional		$44.67	$46.77	$151.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $16.98 / $32.36	Facility		$9.77	$16.98	$32.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $10.47 / $33.11	Professional		$7.08	$10.47	$33.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $21.88 / $27.54	Professional		$15.14	$21.88	$27.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $24.55 / $33.11	Professional		$21.88	$24.55	$33.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Professional		$41.69	$41.69	$41.69
United Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $7.08 / $10.47	Facility		$7.08	$7.08	$10.47
United Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $7.08 / $12.02	Professional		$6.92	$7.08	$12.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $20.89	Professional		$20.89	$20.89	$20.89