Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.37 / $22.44 / $77.31	Professional		$15.37	$22.44	$77.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.00 / $31.13 / $38.90	Professional		$26.00	$31.13	$38.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $26.79 / $29.56 / $48.49	Professional		$26.79	$29.56	$48.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.32 / $28.54 / $35.32	Facility		$18.32	$28.54	$35.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.12 / $17.13 / $69.31	Professional		$13.12	$17.13	$69.31
Midlands Facility/Professional Facility Modifier Low / Median / High Price $26.69 / $29.47 / $38.56	Facility		$26.69	$29.47	$38.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $23.74 / $30.63 / $44.06	Professional		$23.74	$30.63	$44.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $33.40 / $40.29 / $52.80	Professional		$33.40	$40.29	$52.80
United Facility/Professional Professional Modifier Low / Median / High Price $12.72 / $13.37 / $22.95	Professional		$12.72	$13.37	$22.95
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $24.11 / $24.11 / $24.11	Facility		$24.11	$24.11	$24.11
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $24.11 / $24.11	Professional		$19.05	$24.11	$24.11