Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.21 / $13.73 / $17.75	Professional		$9.21	$13.73	$17.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $14.02 / $37.69	Professional		$13.49	$14.02	$37.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $50.27 / $53.56 / $68.95	Professional		$50.27	$53.56	$68.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.55 / $22.84 / $48.09	Facility		$13.55	$22.84	$48.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $11.05 / $134.28	Professional		$9.77	$11.05	$134.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $20.67 / $24.75 / $39.15	Facility		$20.67	$24.75	$39.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $20.67 / $29.02 / $39.15	Professional		$20.67	$29.02	$39.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $23.20 / $23.20 / $23.20	Professional		$23.20	$23.20	$23.20
United Facility/Professional Professional Modifier Low / Median / High Price $9.21 / $10.01 / $16.69	Professional		$9.21	$10.01	$16.69
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $8.94 / $11.32 / $11.32	Professional		$8.94	$11.32	$11.32