Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.88 / $14.42 / $49.69	Professional		$9.88	$14.42	$49.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.43 / $19.88 / $24.84	Professional		$18.43	$19.88	$24.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16.97 / $18.96 / $32.79	Professional		$16.97	$18.96	$32.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $18.54 / $22.71	Facility		$11.75	$18.54	$22.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.42 / $10.99 / $44.46	Professional		$8.42	$10.99	$44.46
Midlands Facility/Professional Facility Modifier Low / Median / High Price $17.14 / $18.94 / $24.79	Facility		$17.14	$18.94	$24.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $15.26 / $19.69 / $28.29	Professional		$15.26	$19.69	$28.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $12.80 / $25.90 / $33.90	Professional		$12.80	$25.90	$33.90
United Facility/Professional Professional Modifier Low / Median / High Price $8.17 / $8.59 / $14.75	Professional		$8.17	$8.59	$14.75
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $15.50 / $15.50 / $15.50	Facility		$15.50	$15.50	$15.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $12.25 / $15.50 / $15.50	Professional		$12.25	$15.50	$15.50