Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.51 / $6.73 / $8.69	Professional		$4.51	$6.73	$8.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.87 / $10.41 / $19.19	Professional		$6.87	$10.41	$19.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $17.28 / $17.93 / $23.08	Professional		$17.28	$17.93	$23.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.66 / $10.44 / $20.03	Facility		$6.66	$10.44	$20.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.80 / $5.41 / $67.14	Professional		$4.80	$5.41	$67.14
Midlands Facility/Professional Facility Modifier Low / Median / High Price $10.14 / $12.14 / $19.19	Facility		$10.14	$12.14	$19.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $14.23 / $19.19	Professional		$10.19	$14.23	$19.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.40 / $11.40 / $11.40	Professional		$11.40	$11.40	$11.40
United Facility/Professional Professional Modifier Low / Median / High Price $4.51 / $4.91 / $8.43	Professional		$4.51	$4.91	$8.43
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $11.46 / $14.50 / $14.50	Professional		$11.46	$14.50	$14.50