Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.02 / $20.48 / $24.71	Professional		$13.02	$20.48	$24.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.15 / $36.38 / $45.47	Professional		$12.15	$36.38	$45.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $21.51 / $26.55 / $31.27	Professional		$21.51	$26.55	$31.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.48 / $27.03 / $49.35	Facility		$20.48	$27.03	$49.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.68 / $12.62 / $25.00	Professional		$11.68	$12.62	$25.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $25.00 / $27.84 / $49.35	Facility		$25.00	$27.84	$49.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $22.43 / $25.21 / $49.35	Professional		$22.43	$25.21	$49.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $25.31 / $31.90 / $56.94	Professional		$25.31	$31.90	$56.94
United Facility/Professional Professional Modifier Low / Median / High Price $10.52 / $12.62 / $21.04	Professional		$10.52	$12.62	$21.04
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $22.78 / $22.78	Professional		$18.00	$22.78	$22.78