Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.11 / $12.21 / $12.21	Professional		$7.11	$12.21	$12.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.00 / $16.67 / $20.63	Professional		$14.00	$16.67	$20.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.88 / $14.58 / $26.39	Professional		$13.88	$14.58	$26.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $16.04 / $19.73	Facility		$11.48	$16.04	$19.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.97 / $9.32 / $37.74	Professional		$6.97	$9.32	$37.74
Midlands Facility/Professional Facility Modifier Low / Median / High Price $14.00 / $16.04 / $20.99	Facility		$14.00	$16.04	$20.99
Midlands Facility/Professional Professional Modifier Low / Median / High Price $12.93 / $16.67 / $22.39	Professional		$12.93	$16.67	$22.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.80 / $21.90 / $28.70	Professional		$10.80	$21.90	$28.70
United Facility/Professional Facility Modifier Low / Median / High Price $6.64 / $6.64 / $6.64	Facility		$6.64	$6.64	$6.64
United Facility/Professional Professional Modifier Low / Median / High Price $6.80 / $7.28 / $29.99	Professional		$6.80	$7.28	$29.99
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $13.12 / $13.12 / $13.12	Facility		$13.12	$13.12	$13.12
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $10.36 / $13.12 / $13.12	Professional		$10.36	$13.12	$13.12