Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $3.02 / $3.02	Facility		$3.02	$3.02	$3.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $3.02	Professional		$3.02	$3.02	$3.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $30.90 / $38.90	Professional		$25.70	$30.90	$38.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $23.44 / $48.98	Professional		$22.39	$23.44	$48.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.31 / $5.62 / $40.74	Facility		$3.31	$5.62	$40.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $19.05 / $56.23	Professional		$13.49	$19.05	$56.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $30.20 / $67.61	Professional		$28.18	$30.20	$67.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $89.13	Professional		$29.51	$29.51	$89.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $52.48	Professional		$43.65	$43.65	$52.48
United Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $13.49 / $15.85	Facility		$13.49	$13.49	$15.85
United Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.49 / $23.44	Professional		$13.49	$13.49	$23.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $22.91	Professional		$22.91	$22.91	$22.91