Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.81 / $16.48 / $16.48	Professional		$7.81	$16.48	$16.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.18 / $22.88 / $28.59	Professional		$21.18	$22.88	$28.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $19.68 / $20.83 / $46.84	Professional		$19.68	$20.83	$46.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.48 / $22.42 / $39.14	Facility		$16.48	$22.42	$39.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.47 / $12.07 / $48.83	Professional		$9.47	$12.07	$48.83
Midlands Facility/Professional Facility Modifier Low / Median / High Price $21.58 / $22.42 / $28.32	Facility		$21.58	$22.42	$28.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $21.00 / $22.68 / $32.93	Professional		$21.00	$22.68	$32.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $19.07 / $26.60 / $42.40	Professional		$19.07	$26.60	$42.40
United Facility/Professional Professional Modifier Low / Median / High Price $8.93 / $9.82 / $16.85	Professional		$8.93	$9.82	$16.85
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $17.71 / $17.71 / $17.71	Facility		$17.71	$17.71	$17.71
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $13.99 / $17.71 / $17.71	Professional		$13.99	$17.71	$17.71