Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.42 / $10.21 / $29.00	Professional		$8.42	$10.21	$29.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.10 / $14.25 / $17.80	Professional		$13.10	$14.25	$17.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.19 / $12.88 / $25.60	Professional		$12.19	$12.88	$25.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.21 / $15.72 / $44.53	Facility		$10.21	$15.72	$44.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.86 / $7.46 / $30.19	Professional		$5.86	$7.46	$30.19
Midlands Facility/Professional Facility Modifier Low / Median / High Price $13.37 / $13.89 / $25.61	Facility		$13.37	$13.89	$25.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $13.37 / $15.66 / $25.70	Professional		$13.37	$15.66	$25.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.81 / $16.50 / $27.43	Professional		$11.81	$16.50	$27.43
United Facility/Professional Professional Modifier Low / Median / High Price $5.80 / $6.08 / $10.43	Professional		$5.80	$6.08	$10.43
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $10.97 / $10.97 / $10.97	Facility		$10.97	$10.97	$10.97
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $8.67 / $10.97 / $10.97	Professional		$8.67	$10.97	$10.97