Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.33 / $20.92 / $20.92	Professional		$14.33	$20.92	$20.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.88 / $28.88 / $36.09	Professional		$26.88	$28.88	$36.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $24.98 / $26.43 / $45.21	Professional		$24.98	$26.43	$45.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.92 / $28.47 / $49.27	Facility		$20.92	$28.47	$49.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.32 / $61.98	Professional		$12.02	$15.32	$61.98
Midlands Facility/Professional Facility Modifier Low / Median / High Price $27.40 / $28.47 / $35.95	Facility		$27.40	$28.47	$35.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $26.16 / $28.55 / $41.79	Professional		$26.16	$28.55	$41.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $24.21 / $33.79 / $45.48	Professional		$24.21	$33.79	$45.48
United Facility/Professional Professional Modifier Low / Median / High Price $11.90 / $12.46 / $21.39	Professional		$11.90	$12.46	$21.39
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $22.48 / $22.48 / $22.48	Facility		$22.48	$22.48	$22.48
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $17.76 / $22.48 / $22.48	Professional		$17.76	$22.48	$22.48