Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.48 / $19.69 / $67.80	Professional		$13.48	$19.69	$67.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.15 / $27.38 / $34.22	Professional		$25.15	$27.38	$34.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16.04 / $23.50 / $42.54	Professional		$16.04	$23.50	$42.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.05 / $25.08 / $30.98	Facility		$16.05	$25.08	$30.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.50 / $15.01 / $60.75	Professional		$11.50	$15.01	$60.75
Midlands Facility/Professional Facility Modifier Low / Median / High Price $23.40 / $25.85 / $33.83	Facility		$23.40	$25.85	$33.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $20.82 / $26.87 / $38.60	Professional		$20.82	$26.87	$38.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $17.50 / $35.29 / $46.30	Professional		$17.50	$35.29	$46.30
United Facility/Professional Professional Modifier Low / Median / High Price $11.20 / $11.72 / $20.13	Professional		$11.20	$11.72	$20.13
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $21.15 / $21.15 / $21.15	Facility		$21.15	$21.15	$21.15
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $16.71 / $21.15 / $21.15	Professional		$16.71	$21.15	$21.15