Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.50 / $13.50 / $17.66	Facility		$13.50	$13.50	$17.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.88 / $11.88 / $13.50	Professional		$11.88	$11.88	$13.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.05 / $10.05 / $10.79	Facility		$10.05	$10.05	$10.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.88 / $14.41 / $16.50	Professional		$11.88	$14.41	$16.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $11.88 / $11.88 / $24.59	Professional		$11.88	$11.88	$24.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.70 / $13.50 / $19.30	Facility		$11.70	$13.50	$19.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.70 / $11.70 / $24.95	Professional		$11.70	$11.70	$24.95
Midlands Facility/Professional Facility Modifier Low / Median / High Price $6.00 / $14.41 / $18.11	Facility		$6.00	$14.41	$18.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $9.90 / $14.41 / $18.11	Professional		$9.90	$14.41	$18.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $18.10 / $22.10	Professional		$13.00	$18.10	$22.10
United Facility/Professional Professional Modifier Low / Median / High Price $11.88 / $11.88 / $15.09	Professional		$11.88	$11.88	$15.09
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $11.70 / $11.70 / $11.70	Facility		$11.70	$11.70	$11.70
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $9.24 / $11.70 / $11.70	Professional		$9.24	$11.70	$11.70