Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.03 / $19.02 / $65.51	Professional		$13.03	$19.02	$65.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.29 / $26.25 / $32.81	Professional		$24.29	$26.25	$32.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $22.70 / $23.14 / $41.09	Professional		$22.70	$23.14	$41.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.51 / $24.44 / $29.93	Facility		$15.51	$24.44	$29.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.10 / $14.49 / $58.65	Professional		$11.10	$14.49	$58.65
Midlands Facility/Professional Facility Modifier Low / Median / High Price $22.61 / $24.97 / $32.67	Facility		$22.61	$24.97	$32.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $20.12 / $25.95 / $37.29	Professional		$20.12	$25.95	$37.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $16.89 / $30.90 / $44.70	Professional		$16.89	$30.90	$44.70
United Facility/Professional Professional Modifier Low / Median / High Price $10.66 / $11.33 / $19.45	Professional		$10.66	$11.33	$19.45
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $20.43 / $20.43 / $20.43	Facility		$20.43	$20.43	$20.43
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $16.14 / $20.43 / $20.43	Professional		$16.14	$20.43	$20.43