Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.94 / $15.18 / $44.00	Professional		$13.94	$15.18	$44.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.53 / $21.00 / $26.25	Professional		$19.53	$21.00	$26.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $18.12 / $19.21 / $42.82	Professional		$18.12	$19.21	$42.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.18 / $23.38 / $73.55	Facility		$15.18	$23.38	$73.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.73 / $11.13 / $45.04	Professional		$8.73	$11.13	$45.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $19.89 / $20.66 / $38.11	Facility		$19.89	$20.66	$38.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $19.89 / $23.29 / $41.92	Professional		$19.89	$23.29	$41.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $24.50 / $40.00	Professional		$17.55	$24.50	$40.00
United Facility/Professional Professional Modifier Low / Median / High Price $8.64 / $9.03 / $15.96	Professional		$8.64	$9.03	$15.96
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $16.30 / $16.30 / $16.30	Facility		$16.30	$16.30	$16.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $16.30 / $16.30	Professional		$12.88	$16.30	$16.30