Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.09 / $29.94 / $43.00	Professional		$15.09	$29.94	$43.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.63 / $21.00 / $26.25	Professional		$19.63	$21.00	$26.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $18.23 / $19.32 / $41.89	Professional		$18.23	$19.32	$41.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.27 / $23.52 / $57.36	Facility		$15.27	$23.52	$57.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.77 / $11.19 / $45.29	Professional		$8.77	$11.19	$45.29
Midlands Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $20.77 / $34.00	Facility		$20.00	$20.77	$34.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $23.42 / $34.00	Professional		$20.00	$23.42	$34.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $17.66 / $24.70 / $41.02	Professional		$17.66	$24.70	$41.02
United Facility/Professional Professional Modifier Low / Median / High Price $8.65 / $9.10 / $15.61	Professional		$8.65	$9.10	$15.61
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $16.41 / $16.41 / $16.41	Facility		$16.41	$16.41	$16.41
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $12.96 / $16.41 / $16.41	Professional		$12.96	$16.41	$16.41