Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $13.49 / $17.78	Facility		$11.75	$13.49	$17.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $12.02 / $16.22	Professional		$10.96	$12.02	$16.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $223.87 / $269.15	Facility		$10.72	$223.87	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $12.30 / $15.14	Professional		$11.75	$12.30	$15.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $13.49 / $29.51	Professional		$10.00	$13.49	$29.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $14.13 / $24.55	Facility		$11.75	$14.13	$24.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $11.75 / $23.44	Professional		$11.75	$11.75	$23.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $15.14 / $18.62	Professional		$6.03	$15.14	$18.62
Midlands Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $208.93 / $269.15	Facility		$10.00	$208.93	$269.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $22.91 / $25.12	Professional		$10.00	$22.91	$25.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $16.98 / $21.88	Professional		$14.13	$16.98	$21.88
United Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.02 / $19.95	Facility		$12.02	$12.02	$19.95
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $36.31 / $125.89	Professional		$29.51	$36.31	$125.89
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $11.75 / $11.75	Facility		$11.75	$11.75	$11.75
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $11.75 / $11.75	Professional		$11.75	$11.75	$11.75