Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.17 / $16.35 / $20.00	Professional		$13.17	$16.35	$20.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.22 / $19.22 / $19.22	Professional		$19.22	$19.22	$19.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $58.12 / $60.37 / $66.08	Professional		$58.12	$60.37	$66.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.35 / $18.80 / $39.83	Facility		$16.35	$18.80	$39.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $24.75 / $48.40 / $108.59	Professional		$24.75	$48.40	$108.59
Midlands Facility/Professional Facility Modifier Low / Median / High Price $21.26 / $28.00 / $39.83	Facility		$21.26	$28.00	$39.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $22.05 / $28.56 / $39.83	Professional		$22.05	$28.56	$39.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $21.80 / $21.80 / $28.50	Professional		$21.80	$21.80	$28.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $31.84 / $40.29 / $40.29	Professional		$31.84	$40.29	$40.29