Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $19.53 / $56.00	Professional		$12.88	$19.53	$56.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.09 / $27.00 / $33.75	Professional		$25.09	$27.00	$33.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $23.32 / $24.69 / $42.82	Professional		$23.32	$24.69	$42.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.53 / $30.08 / $68.16	Facility		$19.53	$30.08	$68.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $14.31 / $57.89	Professional		$11.22	$14.31	$57.89
Midlands Facility/Professional Facility Modifier Low / Median / High Price $25.57 / $26.56 / $39.00	Facility		$25.57	$26.56	$39.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $25.57 / $29.96 / $39.31	Professional		$25.57	$29.96	$39.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $22.60 / $31.60 / $52.47	Professional		$22.60	$31.60	$52.47
United Facility/Professional Professional Modifier Low / Median / High Price $10.94 / $11.63 / $19.96	Professional		$10.94	$11.63	$19.96
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $20.99 / $20.99 / $20.99	Facility		$20.99	$20.99	$20.99
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $16.57 / $20.99 / $20.99	Professional		$16.57	$20.99	$20.99