Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $14.93 / $51.43	Professional		$10.23	$14.93	$51.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.07 / $20.63 / $25.78	Professional		$19.07	$20.63	$25.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $17.82 / $19.64 / $32.27	Professional		$17.82	$19.64	$32.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.17 / $19.02 / $23.50	Facility		$12.17	$19.02	$23.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.72 / $11.38 / $46.05	Professional		$8.72	$11.38	$46.05
Midlands Facility/Professional Facility Modifier Low / Median / High Price $17.75 / $19.61 / $25.67	Facility		$17.75	$19.61	$25.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $15.80 / $20.39 / $29.30	Professional		$15.80	$20.39	$29.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $22.20 / $26.80 / $35.10	Professional		$22.20	$26.80	$35.10
United Facility/Professional Professional Modifier Low / Median / High Price $8.52 / $8.89 / $15.26	Professional		$8.52	$8.89	$15.26
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $17.82 / $17.82 / $17.82	Facility		$17.82	$17.82	$17.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $14.09 / $17.82 / $17.82	Professional		$14.09	$17.82	$17.82