Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.53 / $16.80 / $57.91	Professional		$11.53	$16.80	$57.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.47 / $23.25 / $29.06	Professional		$21.47	$23.25	$29.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $20.16 / $36.33	Professional		$9.77	$20.16	$36.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.71 / $21.38 / $26.46	Facility		$13.71	$21.38	$26.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.81 / $12.82 / $51.93	Professional		$9.81	$12.82	$51.93
Midlands Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $22.08 / $28.92	Facility		$20.00	$22.08	$28.92
Midlands Facility/Professional Professional Modifier Low / Median / High Price $17.79 / $22.94 / $32.97	Professional		$17.79	$22.94	$32.97
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $30.20 / $39.60	Professional		$15.00	$30.20	$39.60
United Facility/Professional Professional Modifier Low / Median / High Price $9.56 / $10.01 / $41.26	Professional		$9.56	$10.01	$41.26
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $18.05 / $18.05 / $18.05	Facility		$18.05	$18.05	$18.05
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $14.27 / $18.05 / $18.05	Professional		$14.27	$18.05	$18.05