Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.42 / $15.80 / $16.29	Professional		$14.42	$15.80	$16.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.77 / $25.71 / $45.31	Professional		$15.77	$25.71	$45.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.10 / $16.30 / $29.45	Professional		$15.10	$16.30	$29.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.04 / $18.78 / $41.00	Facility		$16.04	$18.78	$41.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $19.89 / $30.81 / $113.84	Professional		$19.89	$30.81	$113.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $22.14 / $29.48 / $45.31	Facility		$22.14	$29.48	$45.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $22.43 / $29.87 / $48.26	Professional		$22.43	$29.87	$48.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $21.80 / $21.80 / $44.40	Professional		$21.80	$21.80	$44.40
United Facility/Professional Professional Modifier Low / Median / High Price $18.98 / $25.47 / $42.00	Professional		$18.98	$25.47	$42.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $19.82 / $25.10 / $25.10	Professional		$19.82	$25.10	$25.10