Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.32 / $16.50 / $21.14	Professional		$15.32	$16.50	$21.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.25 / $25.31 / $25.71	Professional		$20.25	$25.31	$25.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $54.92 / $54.92 / $54.92	Professional		$54.92	$54.92	$54.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $22.06 / $93.80 / $93.80	Facility		$22.06	$93.80	$93.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $19.79 / $40.69	Professional		$17.32	$19.79	$40.69
Midlands Facility/Professional Facility Modifier Low / Median / High Price $22.06 / $25.71 / $40.72	Facility		$22.06	$25.71	$40.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $28.99 / $44.33	Professional		$21.48	$28.99	$44.33
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,148.62 / $2,148.62 / $2,148.62	Facility		$2,148.62	$2,148.62	$2,148.62
United Facility/Professional Professional Modifier Low / Median / High Price $16.78 / $18.77 / $27.28	Professional		$16.78	$18.77	$27.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $1.00	Professional		$1.00	$1.00	$1.00