Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.58 / $14.51 / $37.00	Professional		$12.58	$14.51	$37.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.35 / $17.63 / $22.03	Professional		$16.35	$17.63	$22.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.20 / $16.07 / $32.58	Professional		$15.20	$16.07	$32.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.72 / $19.59 / $73.55	Facility		$12.72	$19.59	$73.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.31 / $9.32 / $41.92	Professional		$7.31	$9.32	$41.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $16.67 / $17.30 / $31.91	Facility		$16.67	$17.30	$31.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $16.67 / $19.52 / $41.92	Professional		$16.67	$19.52	$41.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $14.72 / $20.60 / $34.20	Professional		$14.72	$20.60	$34.20
United Facility/Professional Professional Modifier Low / Median / High Price $7.31 / $7.57 / $30.30	Professional		$7.31	$7.57	$30.30
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $13.68 / $13.68 / $13.68	Facility		$13.68	$13.68	$13.68
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $10.81 / $13.68 / $13.68	Professional		$10.81	$13.68	$13.68