Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.37 / $12.14 / $28.00	Professional		$6.37	$12.14	$28.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.61 / $16.88 / $21.09	Professional		$15.61	$16.88	$21.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.50 / $15.34 / $40.03	Professional		$14.50	$15.34	$40.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.14 / $16.52 / $32.39	Facility		$12.14	$16.52	$32.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.98 / $8.89 / $35.97	Professional		$6.98	$8.89	$35.97
Midlands Facility/Professional Facility Modifier Low / Median / High Price $15.90 / $16.52 / $20.88	Facility		$15.90	$16.52	$20.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $15.90 / $18.34 / $24.26	Professional		$15.90	$18.34	$24.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $14.05 / $19.60 / $32.61	Professional		$14.05	$19.60	$32.61
United Facility/Professional Professional Modifier Low / Median / High Price $6.93 / $7.24 / $28.91	Professional		$6.93	$7.24	$28.91
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $13.05 / $13.05 / $13.05	Facility		$13.05	$13.05	$13.05
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $10.31 / $13.05 / $13.05	Professional		$10.31	$13.05	$13.05