Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.61 / $9.61 / $22.44	Facility		$9.61	$9.61	$22.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.78 / $9.11 / $9.61	Professional		$8.78	$9.11	$9.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.83 / $10.56 / $15.47	Professional		$5.83	$10.56	$15.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $22.52 / $32.11 / $48.61	Professional		$22.52	$32.11	$48.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.67 / $9.61 / $16.54	Facility		$5.67	$9.61	$16.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.16 / $9.16 / $603.04	Professional		$9.16	$9.16	$603.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $5.44 / $5.88 / $15.57	Facility		$5.44	$5.88	$15.57
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5.44 / $9.66 / $17.07	Professional		$5.44	$9.66	$17.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.40 / $14.10 / $17.70	Professional		$6.40	$14.10	$17.70
United Facility/Professional Professional Modifier Low / Median / High Price $9.16 / $9.16 / $11.63	Professional		$9.16	$9.16	$11.63
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $10.63 / $10.63 / $10.63	Facility		$10.63	$10.63	$10.63
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $8.40 / $10.63 / $10.63	Professional		$8.40	$10.63	$10.63