Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.69 / $14.00 / $51.00	Professional		$10.69	$14.00	$51.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.30 / $25.35 / $37.18	Professional		$13.30	$25.35	$37.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $10.94 / $18.01 / $39.59	Professional		$10.94	$18.01	$39.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.69 / $22.78 / $30.94	Facility		$13.69	$22.78	$30.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.62 / $27.30 / $199.96	Professional		$15.62	$27.30	$199.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $16.68 / $25.13 / $32.56	Facility		$16.68	$25.13	$32.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $19.61 / $25.13 / $32.56	Professional		$19.61	$25.13	$32.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.52 / $13.34 / $35.70	Professional		$10.52	$13.34	$35.70
United Facility/Professional Professional Modifier Low / Median / High Price $14.24 / $23.18 / $36.94	Professional		$14.24	$23.18	$36.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $14.06 / $17.80 / $21.00	Professional		$14.06	$17.80	$21.00