Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.25 / $12.05 / $41.50	Professional		$8.25	$12.05	$41.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.39 / $16.50 / $20.63	Professional		$15.39	$16.50	$20.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.88 / $15.85 / $27.32	Professional		$13.88	$15.85	$27.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.83 / $15.37 / $18.97	Facility		$9.83	$15.37	$18.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.03 / $9.18 / $37.15	Professional		$7.03	$9.18	$37.15
Midlands Facility/Professional Facility Modifier Low / Median / High Price $14.31 / $15.83 / $20.69	Facility		$14.31	$15.83	$20.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $12.74 / $16.44 / $23.63	Professional		$12.74	$16.44	$23.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.70 / $21.60 / $28.30	Professional		$10.70	$21.60	$28.30
United Facility/Professional Professional Modifier Low / Median / High Price $6.87 / $7.18 / $12.32	Professional		$6.87	$7.18	$12.32
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $12.95 / $12.95 / $12.95	Facility		$12.95	$12.95	$12.95
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $12.95 / $12.95	Professional		$10.23	$12.95	$12.95