Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.17 / $21.24 / $90.06	Facility		$10.17	$21.24	$90.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.63 / $7.63 / $10.17	Professional		$7.63	$7.63	$10.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.78 / $8.19 / $10.92	Professional		$3.78	$8.19	$10.92
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3.30 / $7.63 / $43.14	Professional		$3.30	$7.63	$43.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.00 / $5.41 / $10.74	Facility		$3.00	$5.41	$10.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.36 / $5.36 / $48.89	Professional		$5.36	$5.36	$48.89
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3.00 / $5.12 / $10.28	Facility		$3.00	$5.12	$10.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3.28 / $5.12 / $10.28	Professional		$3.28	$5.12	$10.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $7.80 / $13.62	Professional		$5.50	$7.80	$13.62
United Facility/Professional Professional Modifier Low / Median / High Price $7.63 / $7.63 / $8.57	Professional		$7.63	$7.63	$8.57
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $5.36 / $5.36 / $5.36	Facility		$5.36	$5.36	$5.36
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4.23 / $5.36 / $5.36	Professional		$4.23	$5.36	$5.36