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 / $10.96	Professional		$3.98	$6.03	$10.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $11.75 / $14.45	Professional		$10.00	$11.75	$14.45
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $15.49 / $20.89	Professional		$8.71	$15.49	$20.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.92 / $11.22 / $18.62	Facility		$6.92	$11.22	$18.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $6.17 / $20.89	Professional		$4.68	$6.17	$20.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $11.48 / $13.18	Professional		$11.22	$11.48	$13.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $16.98 / $21.88	Professional		$8.71	$16.98	$21.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $15.14 / $19.95	Professional		$8.32	$15.14	$19.95
United Facility/Professional Facility Modifier Low / Median / High Price $5.13 / $5.13 / $5.75	Facility		$5.13	$5.13	$5.75
United Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $5.13 / $8.51	Professional		$4.57	$5.13	$8.51
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $9.12 / $9.12	Professional		$9.12	$9.12	$9.12