Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $15.14 / $15.14	Facility		$15.14	$15.14	$15.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $22.39 / $45.71	Professional		$10.00	$22.39	$45.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $20.89 / $26.30	Professional		$19.95	$20.89	$26.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $25.70 / $123.03	Professional		$15.49	$25.70	$123.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $20.89 / $51.29	Facility		$15.14	$20.89	$51.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $10.72 / $37.15	Professional		$8.32	$10.72	$37.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $20.89 / $33.88	Professional		$19.95	$20.89	$33.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $33.11 / $39.81	Professional		$30.20	$33.11	$39.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $26.30 / $39.81	Professional		$18.62	$26.30	$39.81
United Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $9.12 / $10.23	Facility		$9.12	$9.12	$10.23
United Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $9.12 / $15.14	Professional		$7.94	$9.12	$15.14
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $16.60 / $16.60	Professional		$16.60	$16.60	$16.60