Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $7.94 / $7.94	Facility		$7.94	$7.94	$7.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $6.03 / $10.00	Professional		$3.98	$6.03	$10.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $11.22 / $14.13	Professional		$8.91	$11.22	$14.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $17.38 / $23.99	Professional		$8.13	$17.38	$23.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.61 / $10.47 / $17.38	Facility		$6.61	$10.47	$17.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $5.89 / $19.95	Professional		$4.47	$5.89	$19.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $10.96 / $12.59	Professional		$10.47	$10.96	$12.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $16.22 / $20.89	Professional		$8.32	$16.22	$20.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $15.49 / $19.05	Professional		$13.18	$15.49	$19.05
United Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $4.79 / $5.37	Facility		$4.79	$4.79	$5.37
United Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $4.79 / $7.94	Professional		$4.37	$4.79	$7.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $8.71 / $8.71	Professional		$8.71	$8.71	$8.71