Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.57 / $14.27 / $18.45	Professional		$9.57	$14.27	$18.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.57 / $20.25 / $40.69	Professional		$14.57	$20.25	$40.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1.11 / $5.54 / $6.69	Professional		$1.11	$5.54	$6.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.12 / $22.15 / $41.39	Facility		$14.12	$22.15	$41.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.16 / $11.48 / $139.58	Professional		$10.16	$11.48	$139.58
Midlands Facility/Professional Facility Modifier Low / Median / High Price $21.48 / $25.71 / $40.69	Facility		$21.48	$25.71	$40.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $30.14 / $40.69	Professional		$21.48	$30.14	$40.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $24.10 / $24.10 / $24.10	Professional		$24.10	$24.10	$24.10
United Facility/Professional Professional Modifier Low / Median / High Price $9.57 / $10.41 / $17.20	Professional		$9.57	$10.41	$17.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $0.95 / $1.20 / $1.20	Professional		$0.95	$1.20	$1.20