Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.28 / $14.00 / $15.55	Professional		$13.28	$14.00	$15.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.80 / $10.71 / $19.46	Professional		$5.80	$10.71	$19.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.66 / $17.25 / $31.98	Professional		$14.66	$17.25	$31.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.80 / $14.00 / $21.56	Facility		$5.80	$14.00	$21.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.80 / $10.49 / $41.00	Professional		$5.80	$10.49	$41.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $5.80 / $5.80 / $6.55	Facility		$5.80	$5.80	$6.55
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5.80 / $5.80 / $19.46	Professional		$5.80	$5.80	$19.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $13.51 / $18.38 / $18.38	Professional		$13.51	$18.38	$18.38
United Facility/Professional Professional Modifier Low / Median / High Price $5.22 / $9.40 / $13.62	Professional		$5.22	$9.40	$13.62
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $18.39 / $18.39 / $18.39	Professional		$18.39	$18.39	$18.39