Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.04 / $26.47 / $26.47	Professional		$3.04	$26.47	$26.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.75 / $8.32 / $8.57	Professional		$6.75	$8.32	$8.57
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.41 / $18.20 / $30.95	Professional		$14.41	$18.20	$30.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.13 / $20.46 / $22.08	Facility		$0.13	$20.46	$22.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.60 / $26.57 / $46.24	Professional		$17.60	$26.57	$46.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $19.21 / $19.21 / $19.21	Facility		$19.21	$19.21	$19.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $19.21 / $19.21 / $19.21	Professional		$19.21	$19.21	$19.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.40 / $26.90 / $38.40	Professional		$10.40	$26.90	$38.40
United Facility/Professional Professional Modifier Low / Median / High Price $17.60 / $25.60 / $43.52	Professional		$17.60	$25.60	$43.52
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $7.90 / $10.00 / $10.00	Professional		$7.90	$10.00	$10.00