Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.10 / $18.94 / $18.94	Professional		$11.10	$18.94	$18.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.47 / $31.33 / $34.22	Professional		$25.47	$31.33	$34.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $10.91 / $16.97 / $52.81	Professional		$10.91	$16.97	$52.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $25.10 / $31.74 / $1,607.00	Facility		$25.10	$31.74	$1,607.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.35 / $31.23 / $660.00	Professional		$15.35	$31.23	$660.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $19.30 / $29.02 / $36.47	Facility		$19.30	$29.02	$36.47
Midlands Facility/Professional Professional Modifier Low / Median / High Price $21.00 / $29.02 / $44.90	Professional		$21.00	$29.02	$44.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $20.80 / $22.70 / $29.50	Professional		$20.80	$22.70	$29.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,607.00 / $2,126.00	Facility		$1,204.00	$1,607.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $13.70 / $25.67 / $38.77	Professional		$13.70	$25.67	$38.77
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $22.10 / $22.10 / $26.00	Professional		$22.10	$22.10	$26.00