Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Facility		$10.00	$10.00	$10.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $12.59 / $33.88	Professional		$7.08	$12.59	$33.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $14.13 / $17.78	Professional		$13.18	$14.13	$17.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $13.49 / $38.02	Professional		$10.47	$13.49	$38.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $14.13 / $30.20	Facility		$10.00	$14.13	$30.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $7.08 / $26.92	Professional		$5.50	$7.08	$26.92
Midlands Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.80 / $26.92	Professional		$13.49	$13.80	$26.92
Midlands Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $25.70 / $26.92	Professional		$20.42	$25.70	$26.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $17.38 / $26.30	Professional		$12.30	$17.38	$26.30
United Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $6.03 / $6.76	Facility		$6.03	$6.03	$6.76
United Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $6.03 / $10.23	Professional		$5.37	$6.03	$10.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $10.96 / $10.96	Professional		$10.96	$10.96	$10.96