Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.52 / $17.39 / $23.36	Professional		$15.52	$17.39	$23.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.40 / $28.08 / $42.75	Professional		$15.40	$28.08	$42.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.52 / $23.99 / $61.58	Professional		$15.52	$23.99	$61.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.17 / $29.78 / $41.39	Facility		$18.17	$29.78	$41.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $16.32 / $29.63 / $124.43	Professional		$16.32	$29.63	$124.43
Midlands Facility/Professional Facility Modifier Low / Median / High Price $22.87 / $34.68 / $41.54	Facility		$22.87	$34.68	$41.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $21.65 / $31.95 / $41.54	Professional		$21.65	$31.95	$41.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $16.28 / $28.54 / $32.79	Professional		$16.28	$28.54	$32.79
United Facility/Professional Professional Modifier Low / Median / High Price $16.17 / $23.52 / $39.54	Professional		$16.17	$23.52	$39.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $24.33 / $30.80 / $37.70	Professional		$24.33	$30.80	$37.70