Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.48 / $21.86 / $21.86	Facility		$14.48	$21.86	$21.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.86 / $12.86 / $12.99	Professional		$12.86	$12.86	$12.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.46 / $14.46 / $15.53	Facility		$14.46	$14.46	$15.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.76 / $14.86 / $19.07	Professional		$11.76	$14.86	$19.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $10.93 / $12.86 / $23.28	Professional		$10.93	$12.86	$23.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.11 / $14.86 / $24.47	Facility		$12.11	$14.86	$24.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $14.48 / $14.48 / $26.15	Professional		$14.48	$14.48	$26.15
Midlands Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $14.86 / $22.73	Facility		$10.00	$14.86	$22.73
Midlands Facility/Professional Professional Modifier Low / Median / High Price $9.05 / $14.86 / $19.70	Professional		$9.05	$14.86	$19.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $13.10 / $14.30 / $15.80	Professional		$13.10	$14.30	$15.80
United Facility/Professional Professional Modifier Low / Median / High Price $12.86 / $12.86 / $22.39	Professional		$12.86	$12.86	$22.39
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $14.48 / $14.48 / $14.48	Facility		$14.48	$14.48	$14.48
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $11.44 / $14.48 / $14.48	Professional		$11.44	$14.48	$14.48