Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.96 / $15.96 / $26.43	Facility		$15.96	$15.96	$26.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $11.60 / $3,936.40	Professional		$10.54	$11.60	$3,936.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $13.31 / $19.86	Professional		$10.54	$13.31	$19.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $14.67 / $34.00	Professional		$10.54	$14.67	$34.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.12 / $15.96 / $21.99	Facility		$12.12	$15.96	$21.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.12 / $13.49 / $1,253.85	Professional		$12.12	$13.49	$1,253.85
Midlands Facility/Professional Facility Modifier Low / Median / High Price $13.00 / $20.30 / $27.87	Facility		$13.00	$20.30	$27.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $17.60 / $22.63	Professional		$13.00	$17.60	$22.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $14.61 / $20.92 / $23.10	Professional		$14.61	$20.92	$23.10
United Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $10.86 / $12.65	Professional		$10.54	$10.86	$12.65
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $13.27 / $13.27 / $13.27	Facility		$13.27	$13.27	$13.27
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $10.48 / $13.27 / $13.27	Professional		$10.48	$13.27	$13.27