Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.82 / $14.34 / $49.38	Professional		$9.82	$14.34	$49.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.30 / $19.88 / $24.84	Professional		$18.30	$19.88	$24.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16.97 / $17.44 / $30.97	Professional		$16.97	$17.44	$30.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.69 / $18.42 / $22.56	Facility		$11.69	$18.42	$22.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.36 / $10.92 / $44.21	Professional		$8.36	$10.92	$44.21
Midlands Facility/Professional Facility Modifier Low / Median / High Price $17.04 / $18.82 / $24.65	Facility		$17.04	$18.82	$24.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $15.16 / $19.55 / $28.12	Professional		$15.16	$19.55	$28.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $12.70 / $25.70 / $33.70	Professional		$12.70	$25.70	$33.70
United Facility/Professional Professional Modifier Low / Median / High Price $8.02 / $8.53 / $35.18	Professional		$8.02	$8.53	$35.18
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $15.40 / $15.40 / $15.40	Facility		$15.40	$15.40	$15.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $12.17 / $15.40 / $15.40	Professional		$12.17	$15.40	$15.40