Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.27 / $17.18 / $36.00	Professional		$16.27	$17.18	$36.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.11 / $23.63 / $29.53	Professional		$22.11	$23.63	$29.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $20.51 / $21.75 / $38.24	Professional		$20.51	$21.75	$38.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.18 / $26.46 / $86.38	Facility		$17.18	$26.46	$86.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.88 / $12.61 / $51.00	Professional		$9.88	$12.61	$51.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $22.49 / $23.38 / $43.14	Facility		$22.49	$23.38	$43.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $22.49 / $26.35 / $49.03	Professional		$22.49	$26.35	$49.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $19.87 / $27.80 / $37.34	Professional		$19.87	$27.80	$37.34
United Facility/Professional Professional Modifier Low / Median / High Price $9.64 / $10.24 / $17.57	Professional		$9.64	$10.24	$17.57
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $18.46 / $18.46 / $18.46	Facility		$18.46	$18.46	$18.46
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $14.58 / $18.46 / $18.46	Professional		$14.58	$18.46	$18.46