Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.28 / $22.25 / $31.00	Professional		$9.28	$22.25	$31.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.25 / $32.10 / $37.15	Professional		$29.25	$32.10	$37.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $25.19 / $34.29 / $45.88	Professional		$25.19	$34.29	$45.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.25 / $31.93 / $38.51	Facility		$21.25	$31.93	$38.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.15 / $19.73 / $81.77	Professional		$13.15	$19.73	$81.77
Midlands Facility/Professional Facility Modifier Low / Median / High Price $30.79 / $31.00 / $40.33	Facility		$30.79	$31.00	$40.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $26.51 / $32.10 / $40.74	Professional		$26.51	$32.10	$40.74
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $868.23 / $868.23 / $868.23	Facility		$868.23	$868.23	$868.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $21.50 / $43.10 / $52.40	Professional		$21.50	$43.10	$52.40
United Facility/Professional Professional Modifier Low / Median / High Price $13.15 / $13.77 / $23.37	Professional		$13.15	$13.77	$23.37
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $25.34 / $25.34 / $25.34	Facility		$25.34	$25.34	$25.34
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $20.02 / $25.34 / $25.34	Professional		$20.02	$25.34	$25.34