Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.89 / $19.00 / $20.23	Professional		$17.89	$19.00	$20.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.63 / $11.35 / $17.54	Professional		$6.63	$11.35	$17.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $32.90 / $38.71 / $39.97	Professional		$32.90	$38.71	$39.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.63 / $19.00 / $29.26	Facility		$6.63	$19.00	$29.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.63 / $12.08 / $41.00	Professional		$6.63	$12.08	$41.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $6.63 / $6.63 / $7.55	Facility		$6.63	$6.63	$7.55
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6.63 / $6.63 / $17.54	Professional		$6.63	$6.63	$17.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $14.62 / $17.22 / $17.22	Professional		$14.62	$17.22	$17.22
United Facility/Professional Professional Modifier Low / Median / High Price $6.01 / $9.73 / $14.91	Professional		$6.01	$9.73	$14.91
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $9.50 / $9.50 / $9.50	Professional		$9.50	$9.50	$9.50