Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.33 / $9.77 / $12.53	Professional		$8.33	$9.77	$12.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.50 / $17.46 / $27.64	Professional		$13.50	$17.46	$27.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $44.84 / $150.00	Professional		$27.40	$44.84	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $22.28 / $32.27	Facility		$9.77	$22.28	$32.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.06 / $10.60 / $52.01	Professional		$7.06	$10.60	$52.01
Midlands Facility/Professional Facility Modifier Low / Median / High Price $14.66 / $19.61 / $27.64	Facility		$14.66	$19.61	$27.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $14.99 / $20.48 / $27.64	Professional		$14.99	$20.48	$27.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $41.60 / $41.60 / $41.60	Professional		$41.60	$41.60	$41.60
United Facility/Professional Professional Modifier Low / Median / High Price $7.06 / $7.07 / $29.12	Professional		$7.06	$7.07	$29.12
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $21.00 / $21.00 / $21.00	Facility		$21.00	$21.00	$21.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $16.59 / $21.00 / $21.00	Professional		$16.59	$21.00	$21.00