Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.40 / $10.40 / $22.86	Facility		$10.40	$10.40	$22.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.39 / $10.39 / $27.20	Professional		$10.39	$10.39	$27.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.39 / $10.72 / $15.60	Professional		$10.39	$10.72	$15.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $7.34 / $10.39 / $26.75	Professional		$7.34	$10.39	$26.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.39 / $10.52 / $17.55	Facility		$10.39	$10.52	$17.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.39 / $11.57 / $796.88	Professional		$10.39	$11.57	$796.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $10.22 / $15.61 / $20.28	Facility		$10.22	$15.61	$20.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $7.36 / $13.53 / $17.16	Professional		$7.36	$13.53	$17.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.39 / $20.59 / $22.12	Professional		$10.39	$20.59	$22.12
United Facility/Professional Professional Modifier Low / Median / High Price $10.39 / $10.70 / $12.36	Professional		$10.39	$10.70	$12.36
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $11.37 / $11.37 / $11.37	Facility		$11.37	$11.37	$11.37
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $8.98 / $11.37 / $11.37	Professional		$8.98	$11.37	$11.37