Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.78 / $16.86 / $485.52	Facility		$12.78	$16.86	$485.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.73 / $6.86 / $148.06	Professional		$6.73	$6.86	$148.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.73 / $7.78 / $16.92	Professional		$6.73	$7.78	$16.92
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $6.73 / $20.80 / $185.60	Professional		$6.73	$20.80	$185.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.98 / $12.15 / $155.28	Facility		$6.98	$12.15	$155.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.98 / $7.77 / $2,103.23	Professional		$6.98	$7.77	$2,103.23
Midlands Facility/Professional Facility Modifier Low / Median / High Price $8.27 / $10.72 / $115.00	Facility		$8.27	$10.72	$115.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $8.27 / $16.92 / $144.27	Professional		$8.27	$16.92	$144.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.73 / $13.50 / $148.40	Professional		$6.73	$13.50	$148.40
United Facility/Professional Professional Modifier Low / Median / High Price $6.73 / $6.93 / $8.01	Professional		$6.73	$6.93	$8.01
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $7.64 / $7.64 / $7.64	Facility		$7.64	$7.64	$7.64
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $6.04 / $7.64 / $7.64	Professional		$6.04	$7.64	$7.64