Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.42 / $20.91 / $30.38	Professional		$17.42	$20.91	$30.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.32 / $35.57 / $51.58	Professional		$15.32	$35.57	$51.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.24 / $20.43 / $33.06	Professional		$14.24	$20.43	$33.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.86 / $30.38 / $51.34	Facility		$15.86	$30.38	$51.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $20.79 / $33.74 / $68.89	Professional		$20.79	$33.74	$68.89
Midlands Facility/Professional Facility Modifier Low / Median / High Price $28.00 / $43.72 / $52.45	Facility		$28.00	$43.72	$52.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $28.00 / $41.76 / $54.05	Professional		$28.00	$41.76	$54.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.20 / $27.13 / $38.79	Professional		$15.20	$27.13	$38.79
United Facility/Professional Professional Modifier Low / Median / High Price $20.13 / $29.85 / $53.48	Professional		$20.13	$29.85	$53.48
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $25.30 / $31.80 / $37.40	Professional		$25.30	$31.80	$37.40