Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.38 / $18.69 / $18.69	Facility		$12.38	$18.69	$18.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $12.49 / $12.62	Professional		$12.49	$12.49	$12.62
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 $12.49 / $15.04 / $16.23	Professional		$12.49	$15.04	$16.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $11.78 / $12.49 / $22.61	Professional		$11.78	$12.49	$22.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.78 / $15.00 / $19.19	Facility		$11.78	$15.00	$19.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.38 / $12.38 / $24.76	Professional		$12.38	$12.38	$24.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $6.00 / $15.04 / $18.72	Facility		$6.00	$15.04	$18.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $8.88 / $15.04 / $18.72	Professional		$8.88	$15.04	$18.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $14.20 / $15.70	Professional		$13.00	$14.20	$15.70
United Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $12.49 / $16.25	Professional		$12.49	$12.49	$16.25
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $12.38 / $12.38 / $12.38	Facility		$12.38	$12.38	$12.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $12.38 / $12.38	Professional		$9.77	$12.38	$12.38