Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.96 / $11.62 / $40.04	Professional		$7.96	$11.62	$40.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.85 / $16.13 / $20.16	Professional		$14.85	$16.13	$20.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.38 / $13.88 / $25.12	Professional		$13.38	$13.88	$25.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.48 / $14.94 / $18.29	Facility		$9.48	$14.94	$18.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.79 / $8.86 / $35.83	Professional		$6.79	$8.86	$35.83
Midlands Facility/Professional Facility Modifier Low / Median / High Price $14.00 / $15.27 / $19.97	Facility		$14.00	$15.27	$19.97
Midlands Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $15.86 / $22.81	Professional		$12.30	$15.86	$22.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.30 / $20.90 / $27.30	Professional		$10.30	$20.90	$27.30
United Facility/Professional Professional Modifier Low / Median / High Price $6.52 / $6.92 / $11.89	Professional		$6.52	$6.92	$11.89
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $12.49 / $12.49 / $12.49	Facility		$12.49	$12.49	$12.49
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $9.86 / $12.49 / $12.49	Professional		$9.86	$12.49	$12.49