Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.06 / $19.78 / $68.15	Professional		$15.06	$19.78	$68.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.42 / $27.38 / $34.22	Professional		$25.42	$27.38	$34.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $23.61 / $25.00 / $42.73	Professional		$23.61	$25.00	$42.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.78 / $30.46 / $76.26	Facility		$19.78	$30.46	$76.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.36 / $14.48 / $58.62	Professional		$11.36	$14.48	$58.62
Midlands Facility/Professional Facility Modifier Low / Median / High Price $25.90 / $26.92 / $45.00	Facility		$25.90	$26.92	$45.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $25.90 / $30.35 / $45.00	Professional		$25.90	$30.35	$45.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $22.43 / $29.20 / $42.98	Professional		$22.43	$29.20	$42.98
United Facility/Professional Professional Modifier Low / Median / High Price $11.08 / $11.78 / $20.23	Professional		$11.08	$11.78	$20.23
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $21.25 / $21.25 / $21.25	Facility		$21.25	$21.25	$21.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $16.79 / $21.25 / $21.25	Professional		$16.79	$21.25	$21.25