Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.72 / $6.92 / $30.26	Professional		$4.72	$6.92	$30.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.16 / $12.68 / $17.50	Professional		$10.16	$12.68	$17.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4.87 / $8.63 / $101.13	Professional		$4.87	$8.63	$101.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.15 / $13.80 / $233.63	Facility		$6.15	$13.80	$233.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.64 / $11.67 / $426.01	Professional		$5.64	$11.67	$426.01
Midlands Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $11.42 / $32.00	Facility		$9.55	$11.42	$32.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $7.36 / $11.42 / $34.00	Professional		$7.36	$11.42	$34.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $66.00 / $66.00	Professional		$66.00	$66.00	$66.00
United Facility/Professional Professional Modifier Low / Median / High Price $5.07 / $9.94 / $24.76	Professional		$5.07	$9.94	$24.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $8.93 / $11.30 / $13.30	Professional		$8.93	$11.30	$13.30