Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.36 / $14.08 / $63.11	Professional		$9.36	$14.08	$63.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.35 / $18.98 / $35.40	Professional		$14.35	$18.98	$35.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $9.17 / $13.15 / $52.81	Professional		$9.17	$13.15	$52.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.68 / $16.88 / $87.89	Facility		$9.68	$16.88	$87.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.88 / $20.77 / $329.00	Professional		$11.88	$20.77	$329.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $14.00 / $18.98 / $27.23	Facility		$14.00	$18.98	$27.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $13.50 / $18.98 / $27.48	Professional		$13.50	$18.98	$27.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.90 / $19.05 / $28.00	Professional		$15.90	$19.05	$28.00
United Facility/Professional Professional Modifier Low / Median / High Price $10.34 / $16.13 / $24.45	Professional		$10.34	$16.13	$24.45
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $19.00 / $22.40	Professional		$19.00	$19.00	$22.40