Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.70 / $20.87 / $40.00	Professional		$17.70	$20.87	$40.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.91 / $29.56 / $69.83	Professional		$13.91	$29.56	$69.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.04 / $17.87 / $45.24	Professional		$14.04	$17.87	$45.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.93 / $45.29 / $82.55	Facility		$16.93	$45.29	$82.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $18.44 / $31.40 / $120.91	Professional		$18.44	$31.40	$120.91
Midlands Facility/Professional Facility Modifier Low / Median / High Price $36.57 / $45.29 / $58.00	Facility		$36.57	$45.29	$58.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $30.95 / $45.29 / $59.31	Professional		$30.95	$45.29	$59.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $30.38 / $32.97 / $34.47	Professional		$30.38	$32.97	$34.47
United Facility/Professional Professional Modifier Low / Median / High Price $18.22 / $23.29 / $52.66	Professional		$18.22	$23.29	$52.66
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $33.90 / $35.10 / $41.30	Professional		$33.90	$35.10	$41.30