Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.05 / $16.32 / $17.42	Facility		$12.05	$16.32	$17.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.88 / $7.88 / $21.14	Professional		$7.88	$7.88	$21.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.88 / $8.55 / $10.64	Professional		$7.88	$8.55	$10.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $7.88 / $11.71 / $39.64	Professional		$7.88	$11.71	$39.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.98 / $11.97 / $17.07	Facility		$7.98	$11.97	$17.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.98 / $8.88 / $2,736.00	Professional		$7.98	$8.88	$2,736.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $9.96 / $12.01 / $14.36	Facility		$9.96	$12.01	$14.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $9.69 / $11.49 / $13.35	Professional		$9.69	$11.49	$13.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.88 / $15.62 / $16.78	Professional		$7.88	$15.62	$16.78
United Facility/Professional Professional Modifier Low / Median / High Price $7.88 / $8.11 / $10.46	Professional		$7.88	$8.11	$10.46
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $8.73 / $8.73 / $8.73	Facility		$8.73	$8.73	$8.73
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $6.90 / $8.73 / $8.73	Professional		$6.90	$8.73	$8.73