Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.85 / $45.49 / $45.49	Facility		$8.85	$45.49	$45.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.15 / $8.15 / $57.80	Professional		$8.15	$8.15	$57.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.88 / $7.38 / $21.27	Professional		$4.88	$7.38	$21.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $8.15 / $49.03 / $161.59	Professional		$8.15	$49.03	$161.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.86 / $10.19 / $91.16	Facility		$5.86	$10.19	$91.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.86 / $6.52 / $7,072.56	Professional		$5.86	$6.52	$7,072.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $7.72 / $52.00	Facility		$5.75	$7.72	$52.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $17.51 / $92.48	Professional		$5.75	$17.51	$92.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.15 / $16.35 / $75.80	Professional		$8.15	$16.35	$75.80
United Facility/Professional Professional Modifier Low / Median / High Price $8.15 / $8.31 / $9.69	Professional		$8.15	$8.31	$9.69
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $6.41 / $6.41 / $6.41	Facility		$6.41	$6.41	$6.41
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $6.41 / $6.41	Professional		$5.05	$6.41	$6.41