Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.49 / $15.10 / $42.00	Professional		$7.49	$15.10	$42.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.42 / $21.00 / $26.25	Professional		$19.42	$21.00	$26.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $18.03 / $19.12 / $57.36	Professional		$18.03	$19.12	$57.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.10 / $20.55 / $37.79	Facility		$15.10	$20.55	$37.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.68 / $11.08 / $44.82	Professional		$8.68	$11.08	$44.82
Midlands Facility/Professional Facility Modifier Low / Median / High Price $19.78 / $20.55 / $25.96	Facility		$19.78	$20.55	$25.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $19.78 / $21.54 / $30.18	Professional		$19.78	$21.54	$30.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $17.13 / $22.30 / $32.83	Professional		$17.13	$22.30	$32.83
United Facility/Professional Professional Modifier Low / Median / High Price $8.60 / $8.99 / $15.44	Professional		$8.60	$8.99	$15.44
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $16.23 / $16.23 / $16.23	Facility		$16.23	$16.23	$16.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $12.82 / $16.23 / $16.23	Professional		$12.82	$16.23	$16.23