Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.43 / $22.31 / $22.98	Facility		$3.43	$22.31	$22.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.68 / $7.68 / $24.79	Professional		$7.68	$7.68	$24.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.71 / $7.90 / $12.38	Professional		$6.71	$7.90	$12.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $7.68 / $14.70 / $86.48	Professional		$7.68	$14.70	$86.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.96 / $8.44 / $23.34	Facility		$1.96	$8.44	$23.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.96 / $2.33 / $397.52	Professional		$1.96	$2.33	$397.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2.93 / $9.75 / $14.14	Facility		$2.93	$9.75	$14.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $7.90 / $11.34 / $19.52	Professional		$7.90	$11.34	$19.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.44 / $13.71 / $27.40	Professional		$5.44	$13.71	$27.40
United Facility/Professional Professional Modifier Low / Median / High Price $7.68 / $7.91 / $25.75	Professional		$7.68	$7.91	$25.75
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $2.14 / $2.14 / $2.14	Facility		$2.14	$2.14	$2.14
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1.69 / $2.14 / $2.14	Professional		$1.69	$2.14	$2.14