Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.95 / $17.88 / $54.00	Professional		$10.95	$17.88	$54.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.96 / $24.75 / $30.94	Professional		$22.96	$24.75	$30.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $21.35 / $22.58 / $43.02	Professional		$21.35	$22.58	$43.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.88 / $24.32 / $52.63	Facility		$17.88	$24.32	$52.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.26 / $13.08 / $52.95	Professional		$10.26	$13.08	$52.95
Midlands Facility/Professional Facility Modifier Low / Median / High Price $23.41 / $24.32 / $31.00	Facility		$23.41	$24.32	$31.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $23.41 / $27.43 / $35.68	Professional		$23.41	$27.43	$35.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $16.01 / $21.78 / $38.88	Professional		$16.01	$21.78	$38.88
United Facility/Professional Professional Modifier Low / Median / High Price $10.16 / $10.64 / $18.27	Professional		$10.16	$10.64	$18.27
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $19.22 / $19.22 / $19.22	Facility		$19.22	$19.22	$19.22
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $15.18 / $19.22 / $19.22	Professional		$15.18	$19.22	$19.22