Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.73 / $11.01 / $20.16	Facility		$5.73	$11.01	$20.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.73 / $5.73 / $15.01	Professional		$5.73	$5.73	$15.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.73 / $6.75 / $8.61	Professional		$5.73	$6.75	$8.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $5.73 / $10.37 / $19.98	Professional		$5.73	$10.37	$19.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.73 / $6.49 / $10.66	Facility		$5.73	$6.49	$10.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.73 / $6.38 / $25.32	Professional		$5.73	$6.38	$25.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $6.88 / $8.60 / $11.46	Facility		$6.88	$8.60	$11.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6.88 / $8.14 / $14.65	Professional		$6.88	$8.14	$14.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.19 / $11.50 / $12.20	Professional		$8.19	$11.50	$12.20
United Facility/Professional Professional Modifier Low / Median / High Price $5.73 / $5.90 / $7.61	Professional		$5.73	$5.90	$7.61
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $6.27 / $6.27 / $6.27	Facility		$6.27	$6.27	$6.27
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4.95 / $6.27 / $6.27	Professional		$4.95	$6.27	$6.27