Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $8.02 / $27.66	Professional		$5.50	$8.02	$27.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.26 / $11.25 / $14.06	Professional		$10.26	$11.25	$14.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $9.59 / $10.60 / $19.59	Professional		$9.59	$10.60	$19.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.57 / $9.64 / $12.65	Facility		$6.57	$9.64	$12.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.70 / $6.14 / $24.85	Professional		$4.70	$6.14	$24.85
Midlands Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $10.55 / $13.81	Facility		$9.55	$10.55	$13.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $8.49 / $10.97 / $15.77	Professional		$8.49	$10.97	$15.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $14.40 / $18.89	Professional		$12.00	$14.40	$18.89
United Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $4.78 / $8.21	Professional		$4.57	$4.78	$8.21
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $8.63 / $8.63 / $8.63	Facility		$8.63	$8.63	$8.63
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $6.82 / $8.63 / $8.63	Professional		$6.82	$8.63	$8.63