Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $12.88 / $12.88	Facility		$12.88	$12.88	$12.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $10.00 / $18.20	Professional		$7.08	$10.00	$18.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.05 / $23.99	Professional		$15.85	$19.05	$23.99
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $18.20 / $30.20	Professional		$14.13	$18.20	$30.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $17.78 / $30.20	Facility		$11.22	$17.78	$30.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $10.00 / $33.88	Professional		$7.59	$10.00	$33.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $19.05 / $21.38	Professional		$18.20	$19.05	$21.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $27.54 / $35.48	Professional		$14.13	$27.54	$35.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $24.55 / $32.36	Professional		$7.08	$24.55	$32.36
United Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $7.59 / $8.32	Facility		$7.59	$7.59	$8.32
United Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $8.32 / $13.80	Professional		$6.92	$8.32	$13.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $14.79 / $14.79	Professional		$14.79	$14.79	$14.79