Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.30 / $15.89 / $22.23	Professional		$13.30	$15.89	$22.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.78 / $19.73 / $38.21	Professional		$10.78	$19.73	$38.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $10.62 / $14.17 / $21.69	Professional		$10.62	$14.17	$21.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.04 / $23.07 / $38.21	Facility		$12.04	$23.07	$38.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $14.66 / $21.55 / $89.79	Professional		$14.66	$21.55	$89.79
Midlands Facility/Professional Facility Modifier Low / Median / High Price $30.27 / $33.14 / $40.22	Facility		$30.27	$33.14	$40.22
Midlands Facility/Professional Professional Modifier Low / Median / High Price $29.50 / $35.84 / $40.83	Professional		$29.50	$35.84	$40.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $12.20 / $21.78 / $28.15	Professional		$12.20	$21.78	$28.15
United Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $18.35 / $32.93	Professional		$13.80	$18.35	$32.93
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $26.50 / $28.30 / $33.40	Professional		$26.50	$28.30	$33.40