Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.44 / $9.77 / $28.00	Professional		$6.44	$9.77	$28.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.55 / $13.50 / $16.88	Professional		$12.55	$13.50	$16.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $11.67 / $12.35 / $27.72	Professional		$11.67	$12.35	$27.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $15.06 / $33.74	Facility		$9.77	$15.06	$33.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.61 / $7.16 / $28.97	Professional		$5.61	$7.16	$28.97
Midlands Facility/Professional Facility Modifier Low / Median / High Price $12.80 / $13.29 / $20.00	Facility		$12.80	$13.29	$20.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $12.80 / $15.00 / $20.00	Professional		$12.80	$15.00	$20.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.30 / $15.80 / $24.80	Professional		$11.30	$15.80	$24.80
United Facility/Professional Professional Modifier Low / Median / High Price $5.57 / $5.82 / $9.99	Professional		$5.57	$5.82	$9.99
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $10.50 / $10.50 / $10.50	Facility		$10.50	$10.50	$10.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $8.30 / $10.50 / $10.50	Professional		$8.30	$10.50	$10.50