Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.47 / $13.47 / $13.47	Facility		$13.47	$13.47	$13.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.06 / $8.75 / $9.00	Professional		$3.06	$8.75	$9.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.17 / $12.00 / $15.00	Professional		$11.17	$12.00	$15.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $10.44 / $11.48 / $18.89	Professional		$10.44	$11.48	$18.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.14 / $11.25 / $13.77	Facility		$7.14	$11.25	$13.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.11 / $6.67 / $27.01	Professional		$5.11	$6.67	$27.01
Midlands Facility/Professional Facility Modifier Low / Median / High Price $10.40 / $11.48 / $15.02	Facility		$10.40	$11.48	$15.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $9.25 / $11.93 / $17.16	Professional		$9.25	$11.93	$17.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.10 / $14.20 / $20.60	Professional		$7.10	$14.20	$20.60
United Facility/Professional Professional Modifier Low / Median / High Price $4.97 / $5.21 / $8.94	Professional		$4.97	$5.21	$8.94
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $9.40 / $9.40 / $9.40	Facility		$9.40	$9.40	$9.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $7.43 / $9.40 / $9.40	Professional		$7.43	$9.40	$9.40