Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $10.00 / $25.70	Facility		$10.00	$10.00	$25.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $12.88 / $25.70	Professional		$7.08	$12.88	$25.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $20.89 / $41.69	Professional		$10.47	$20.89	$41.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $29.51 / $53.70	Professional		$7.94	$29.51	$53.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $19.95 / $37.15	Facility		$8.71	$19.95	$37.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $35.48 / $147.91	Professional		$20.42	$35.48	$147.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $33.88 / $53.70	Professional		$14.13	$33.88	$53.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $23.99 / $60.26	Professional		$10.96	$23.99	$60.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $42.66 / $61.66	Professional		$40.74	$42.66	$61.66
United Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $13.80 / $33.88	Facility		$13.80	$13.80	$33.88
United Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $21.38 / $47.86	Professional		$9.33	$21.38	$47.86
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $20.42 / $52.48	Professional		$16.60	$20.42	$52.48