Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.37 / $14.37 / $14.95	Facility		$14.37	$14.37	$14.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.30 / $11.08 / $18.57	Professional		$8.30	$11.08	$18.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.40 / $13.40 / $21.80	Facility		$13.40	$13.40	$21.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.40 / $24.00 / $30.00	Professional		$13.40	$24.00	$30.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $18.82 / $22.13 / $23.99	Professional		$18.82	$22.13	$23.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.45 / $24.73 / $96.08	Facility		$12.45	$24.73	$96.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.15 / $10.52 / $27.10	Professional		$9.15	$10.52	$27.10
Midlands Facility/Professional Facility Modifier Low / Median / High Price $21.75 / $21.80 / $28.01	Facility		$21.75	$21.80	$28.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $17.87 / $25.49 / $41.68	Professional		$17.87	$25.49	$41.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $19.82 / $21.09 / $37.65	Professional		$19.82	$21.09	$37.65
United Facility/Professional Facility Modifier Low / Median / High Price $7.60 / $9.11 / $10.95	Facility		$7.60	$9.11	$10.95
United Facility/Professional Professional Modifier Low / Median / High Price $9.11 / $9.89 / $26.01	Professional		$9.11	$9.89	$26.01
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $18.82 / $18.82 / $18.82	Facility		$18.82	$18.82	$18.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $14.88 / $18.82 / $18.82	Professional		$14.88	$18.82	$18.82