Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.24 / $12.24 / $23.53	Facility		$12.24	$12.24	$23.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.78 / $10.16 / $12.24	Professional		$9.78	$10.16	$12.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.13 / $5.16 / $10.40	Professional		$4.13	$5.16	$10.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $5.55 / $6.41 / $6.53	Professional		$5.55	$6.41	$6.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.58 / $9.78 / $13.57	Facility		$4.58	$9.78	$13.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.43 / $10.81 / $673.81	Professional		$7.43	$10.81	$673.81
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4.26 / $4.62 / $6.00	Facility		$4.26	$4.62	$6.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4.26 / $4.95 / $7.43	Professional		$4.26	$4.95	$7.43
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $6.80 / $27.40	Professional		$5.00	$6.80	$27.40
United Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $10.51 / $12.14	Professional		$10.19	$10.51	$12.14
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $11.83 / $11.83 / $11.83	Facility		$11.83	$11.83	$11.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $9.35 / $11.83 / $11.83	Professional		$9.35	$11.83	$11.83