Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.93 / $20.86 / $30.28	Professional		$14.93	$20.86	$30.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.18 / $24.38 / $36.09	Professional		$15.18	$24.38	$36.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.38 / $17.07 / $47.54	Professional		$12.38	$17.07	$47.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.88 / $26.49 / $39.94	Facility		$14.88	$26.49	$39.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.48 / $32.11 / $96.34	Professional		$17.48	$32.11	$96.34
Midlands Facility/Professional Facility Modifier Low / Median / High Price $20.91 / $24.75 / $39.94	Facility		$20.91	$24.75	$39.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $21.41 / $25.61 / $39.94	Professional		$21.41	$25.61	$39.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $14.14 / $25.24 / $31.36	Professional		$14.14	$25.24	$31.36
United Facility/Professional Professional Modifier Low / Median / High Price $16.45 / $27.43 / $44.55	Professional		$16.45	$27.43	$44.55
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $18.88 / $23.90 / $28.10	Professional		$18.88	$23.90	$28.10