Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.48 / $21.30 / $62.00	Professional		$17.48	$21.30	$62.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.69 / $30.00 / $37.50	Professional		$27.69	$30.00	$37.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $25.72 / $27.23 / $50.27	Professional		$25.72	$27.23	$50.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.54 / $33.17 / $91.78	Facility		$21.54	$33.17	$91.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.37 / $15.78 / $63.85	Professional		$12.37	$15.78	$63.85
Midlands Facility/Professional Facility Modifier Low / Median / High Price $28.21 / $29.30 / $54.00	Facility		$28.21	$29.30	$54.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $28.21 / $33.04 / $54.00	Professional		$28.21	$33.04	$54.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $24.92 / $34.79 / $57.87	Professional		$24.92	$34.79	$57.87
United Facility/Professional Professional Modifier Low / Median / High Price $12.21 / $12.83 / $22.03	Professional		$12.21	$12.83	$22.03
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $23.15 / $23.15 / $23.15	Facility		$23.15	$23.15	$23.15
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $18.29 / $23.15 / $23.15	Professional		$18.29	$23.15	$23.15