Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.73 / $14.10 / $48.55	Professional		$10.73	$14.10	$48.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.12 / $19.50 / $24.38	Professional		$18.12	$19.50	$24.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16.82 / $17.82 / $30.46	Professional		$16.82	$17.82	$30.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.10 / $19.17 / $32.39	Facility		$14.10	$19.17	$32.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.10 / $10.33 / $41.79	Professional		$8.10	$10.33	$41.79
Midlands Facility/Professional Facility Modifier Low / Median / High Price $18.46 / $19.00 / $24.23	Facility		$18.46	$19.00	$24.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $17.63 / $19.23 / $28.16	Professional		$17.63	$19.23	$28.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.99 / $20.80 / $30.65	Professional		$15.99	$20.80	$30.65
United Facility/Professional Professional Modifier Low / Median / High Price $8.10 / $8.39 / $16.02	Professional		$8.10	$8.39	$16.02
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $15.15 / $15.15 / $15.15	Facility		$15.15	$15.15	$15.15
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $11.97 / $15.15 / $15.15	Professional		$11.97	$15.15	$15.15