Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $19.25 / $66.28	Professional		$13.18	$19.25	$66.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.59 / $26.63 / $33.28	Professional		$24.59	$26.63	$33.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $22.98 / $24.98 / $41.59	Professional		$22.98	$24.98	$41.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.70 / $24.73 / $30.29	Facility		$15.70	$24.73	$30.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.23 / $14.67 / $59.37	Professional		$11.23	$14.67	$59.37
Midlands Facility/Professional Facility Modifier Low / Median / High Price $22.87 / $25.28 / $33.07	Facility		$22.87	$25.28	$33.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $26.26 / $37.74	Professional		$20.35	$26.26	$37.74
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $771.80 / $771.80 / $771.80	Facility		$771.80	$771.80	$771.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.60 / $31.30 / $45.30	Professional		$15.60	$31.30	$45.30
United Facility/Professional Professional Modifier Low / Median / High Price $10.94 / $11.46 / $19.67	Professional		$10.94	$11.46	$19.67
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $20.68 / $20.68 / $20.68	Facility		$20.68	$20.68	$20.68
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $16.34 / $20.68 / $20.68	Professional		$16.34	$20.68	$20.68