Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.53 / $17.20 / $32.01	Professional		$8.53	$17.20	$32.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.38 / $21.19 / $34.83	Professional		$12.38	$21.19	$34.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $8.33 / $16.12 / $44.28	Professional		$8.33	$16.12	$44.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.81 / $19.30 / $36.04	Facility		$10.81	$19.30	$36.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $18.64 / $34.83 / $108.61	Professional		$18.64	$34.83	$108.61
Midlands Facility/Professional Facility Modifier Low / Median / High Price $13.10 / $24.99 / $41.13	Facility		$13.10	$24.99	$41.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $13.60 / $23.83 / $41.13	Professional		$13.60	$23.83	$41.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.36 / $16.80 / $32.22	Professional		$8.36	$16.80	$32.22
United Facility/Professional Professional Modifier Low / Median / High Price $18.82 / $27.39 / $46.57	Professional		$18.82	$27.39	$46.57
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $10.90 / $13.20 / $25.10	Professional		$10.90	$13.20	$25.10