Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.70 / $7.00 / $9.05	Professional		$4.70	$7.00	$9.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.85 / $19.97 / $21.36	Professional		$9.85	$19.97	$21.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $38.33 / $43.44 / $53.43	Professional		$38.33	$43.44	$53.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.91 / $11.65 / $20.85	Facility		$6.91	$11.65	$20.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $5.63 / $70.67	Professional		$5.00	$5.63	$70.67
Midlands Facility/Professional Facility Modifier Low / Median / High Price $10.54 / $12.62 / $19.97	Facility		$10.54	$12.62	$19.97
Midlands Facility/Professional Professional Modifier Low / Median / High Price $10.59 / $14.79 / $19.98	Professional		$10.59	$14.79	$19.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.80 / $11.80 / $11.80	Professional		$11.80	$11.80	$11.80
United Facility/Professional Professional Modifier Low / Median / High Price $4.69 / $5.11 / $8.51	Professional		$4.69	$5.11	$8.51
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $15.76 / $19.95 / $19.95	Professional		$15.76	$19.95	$19.95