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 $6.03 / $10.23 / $30.90	Professional		$6.03	$10.23	$30.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $10.00 / $25.70	Professional		$6.03	$10.00	$25.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $11.75 / $12.02	Professional		$11.22	$11.75	$12.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $14.13 / $25.70	Professional		$5.01	$14.13	$25.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $16.22 / $64.57	Facility		$9.12	$16.22	$64.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $6.03 / $25.12	Professional		$4.07	$6.03	$25.12
Midlands Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.49 / $30.20	Professional		$13.49	$13.49	$30.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $30.20 / $30.20	Professional		$16.98	$30.20	$30.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $17.38 / $23.99	Professional		$12.30	$17.38	$23.99
United Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $12.30 / $12.30	Facility		$12.30	$12.30	$12.30
United Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $6.03 / $9.55	Professional		$4.07	$6.03	$9.55