Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $7.08 / $7.08	Facility		$7.08	$7.08	$7.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $7.08 / $19.95	Professional		$3.98	$7.08	$19.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.47 / $13.18	Professional		$10.00	$10.47	$13.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $16.60 / $25.70	Professional		$7.76	$16.60	$25.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $10.47 / $22.91	Facility		$7.59	$10.47	$22.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $5.25 / $20.89	Professional		$4.07	$5.25	$20.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.47 / $20.89	Professional		$10.00	$10.47	$20.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $19.95 / $21.38	Professional		$15.14	$19.95	$21.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $12.88 / $19.95	Professional		$9.33	$12.88	$19.95
United Facility/Professional Facility Modifier Low / Median / High Price $4.57 / $4.57 / $5.13	Facility		$4.57	$4.57	$5.13
United Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $4.57 / $7.59	Professional		$3.98	$4.57	$7.59
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $8.13 / $8.13	Professional		$8.13	$8.13	$8.13