Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.94 / $10.46 / $29.00	Professional		$4.94	$10.46	$29.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.46 / $14.63 / $18.28	Professional		$13.46	$14.63	$18.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $13.23 / $28.68	Professional		$12.49	$13.23	$28.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.46 / $14.23 / $24.97	Facility		$10.46	$14.23	$24.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.01 / $7.67 / $31.02	Professional		$6.01	$7.67	$31.02
Midlands Facility/Professional Facility Modifier Low / Median / High Price $13.70 / $14.23 / $17.98	Facility		$13.70	$14.23	$17.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $13.70 / $14.36 / $20.92	Professional		$13.70	$14.36	$20.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.87 / $15.50 / $22.74	Professional		$11.87	$15.50	$22.74
United Facility/Professional Professional Modifier Low / Median / High Price $5.96 / $6.23 / $10.70	Professional		$5.96	$6.23	$10.70
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $11.24 / $11.24 / $11.24	Facility		$11.24	$11.24	$11.24
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $8.88 / $11.24 / $11.24	Professional		$8.88	$11.24	$11.24