Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.46 / $13.82 / $47.57	Professional		$9.46	$13.82	$47.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.64 / $19.13 / $23.91	Professional		$17.64	$19.13	$23.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $11.85 / $17.55 / $29.87	Professional		$11.85	$17.55	$29.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.27 / $17.66 / $21.75	Facility		$11.27	$17.66	$21.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.97 / $10.53 / $42.62	Professional		$7.97	$10.53	$42.62
Midlands Facility/Professional Facility Modifier Low / Median / High Price $16.43 / $18.14 / $23.74	Facility		$16.43	$18.14	$23.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $14.61 / $18.86 / $27.11	Professional		$14.61	$18.86	$27.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $22.30 / $32.20	Professional		$7.00	$22.30	$32.20
United Facility/Professional Professional Modifier Low / Median / High Price $7.86 / $8.23 / $14.12	Professional		$7.86	$8.23	$14.12
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $14.85 / $14.85 / $14.85	Facility		$14.85	$14.85	$14.85
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $11.73 / $14.85 / $14.85	Professional		$11.73	$14.85	$14.85