Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.62 / $20.82 / $25.80	Professional		$7.62	$20.82	$25.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.65 / $28.09 / $43.23	Professional		$20.65	$28.09	$43.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $17.95 / $21.12 / $68.84	Professional		$17.95	$21.12	$68.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.21 / $21.12 / $39.72	Facility		$8.21	$21.12	$39.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.50 / $27.58 / $123.60	Professional		$11.50	$27.58	$123.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $13.00 / $34.94 / $37.94	Facility		$13.00	$34.94	$37.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $13.87 / $26.77 / $54.07	Professional		$13.87	$26.77	$54.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $21.66 / $38.65 / $44.54	Professional		$21.66	$38.65	$44.54
United Facility/Professional Professional Modifier Low / Median / High Price $11.34 / $23.53 / $32.47	Professional		$11.34	$23.53	$32.47
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $28.80 / $28.80 / $33.90	Professional		$28.80	$28.80	$33.90