Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.90 / $8.61 / $29.67	Professional		$5.90	$8.61	$29.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.01 / $12.00 / $15.00	Professional		$11.01	$12.00	$15.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $10.28 / $10.80 / $18.61	Professional		$10.28	$10.80	$18.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.02 / $11.08 / $13.55	Facility		$7.02	$11.08	$13.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.03 / $6.56 / $26.55	Professional		$5.03	$6.56	$26.55
Midlands Facility/Professional Facility Modifier Low / Median / High Price $10.24 / $11.31 / $14.81	Facility		$10.24	$11.31	$14.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $9.11 / $11.76 / $16.88	Professional		$9.11	$11.76	$16.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $14.00 / $20.30	Professional		$7.00	$14.00	$20.30
United Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $5.13 / $8.81	Professional		$4.90	$5.13	$8.81
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $9.25 / $9.25 / $9.25	Facility		$9.25	$9.25	$9.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $7.31 / $9.25 / $9.25	Professional		$7.31	$9.25	$9.25