Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.69 / $42.00 / $42.00	Facility		$14.69	$42.00	$42.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.68 / $10.68 / $51.27	Professional		$10.68	$10.68	$51.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.39 / $11.58 / $30.74	Professional		$10.39	$11.58	$30.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $10.68 / $56.73 / $95.08	Professional		$10.68	$56.73	$95.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.73 / $17.66 / $43.93	Facility		$9.73	$17.66	$43.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.73 / $10.83 / $424.84	Professional		$9.73	$10.83	$424.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $12.24 / $18.14 / $33.11	Facility		$12.24	$18.14	$33.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $12.24 / $26.73 / $36.07	Professional		$12.24	$26.73	$36.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $13.24 / $21.43 / $47.00	Professional		$13.24	$21.43	$47.00
United Facility/Professional Professional Modifier Low / Median / High Price $10.68 / $11.00 / $12.82	Professional		$10.68	$11.00	$12.82
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $10.64 / $10.64 / $10.64	Facility		$10.64	$10.64	$10.64
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $8.41 / $10.64 / $10.64	Professional		$8.41	$10.64	$10.64