Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.92 / $20.78 / $27.69	Professional		$11.92	$20.78	$27.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.13 / $20.16 / $39.11	Professional		$16.13	$20.16	$39.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $11.25 / $13.29 / $42.68	Professional		$11.25	$13.29	$42.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.85 / $21.50 / $75.00	Facility		$12.85	$21.50	$75.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.54 / $27.88 / $146.80	Professional		$17.54	$27.88	$146.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $18.25 / $21.50 / $42.37	Facility		$18.25	$21.50	$42.37
Midlands Facility/Professional Professional Modifier Low / Median / High Price $18.25 / $29.73 / $44.44	Professional		$18.25	$29.73	$44.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $23.62 / $24.44 / $25.76	Professional		$23.62	$24.44	$25.76
United Facility/Professional Professional Modifier Low / Median / High Price $16.19 / $26.71 / $51.34	Professional		$16.19	$26.71	$51.34
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $17.30 / $20.39 / $20.39	Professional		$17.30	$20.39	$20.39