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 $4.79 / $8.91 / $38.02	Professional		$4.79	$8.91	$38.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $16.60 / $22.91	Professional		$7.41	$16.60	$22.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $14.79 / $26.92	Facility		$9.55	$14.79	$26.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $9.77 / $31.62	Professional		$6.76	$9.77	$31.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $19.05 / $26.92	Professional		$3.47	$19.05	$26.92
Midlands Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $23.44 / $31.62	Professional		$20.42	$23.44	$31.62
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $40.74 / $48.98	Professional		$36.31	$40.74	$48.98
United Facility/Professional Facility Modifier Low / Median / High Price $6.92 / $6.92 / $10.00	Facility		$6.92	$6.92	$10.00
United Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $6.92 / $11.75	Professional		$6.76	$6.92	$11.75
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2.88 / $2.88 / $2.88	Professional		$2.88	$2.88	$2.88