Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.57 / $10.93 / $10.93	Professional		$1.57	$10.93	$10.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.13 / $10.60 / $12.86	Professional		$10.13	$10.60	$12.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $23.06 / $27.31 / $46.42	Professional		$23.06	$27.31	$46.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.20 / $30.71 / $33.13	Facility		$0.20	$30.71	$33.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.40 / $39.86 / $69.36	Professional		$26.40	$39.86	$69.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $28.83 / $28.83 / $28.83	Facility		$28.83	$28.83	$28.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $28.83 / $28.83 / $28.83	Professional		$28.83	$28.83	$28.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $28.80 / $44.20 / $57.60	Professional		$28.80	$44.20	$57.60
United Facility/Professional Professional Modifier Low / Median / High Price $26.40 / $38.40 / $65.28	Professional		$26.40	$38.40	$65.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $11.85 / $15.00 / $15.00	Professional		$11.85	$15.00	$15.00