Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.96 / $18.20	Professional		$8.91	$10.96	$18.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $14.79 / $23.44	Professional		$11.75	$14.79	$23.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $18.20 / $54.95	Professional		$12.88	$18.20	$54.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $19.05 / $48.98	Professional		$12.30	$19.05	$48.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $21.88 / $28.18	Professional		$17.38	$21.88	$28.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $25.12	Professional		$20.42	$20.42	$25.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $18.62 / $28.84	Professional		$13.49	$18.62	$28.84
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $14.45 / $26.92	Professional		$12.30	$14.45	$26.92
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.38 / $20.42	Professional		$17.38	$17.38	$20.42