Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.15 / $20.13 / $24.43	Professional		$15.15	$20.13	$24.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $27.75 / $34.69	Professional		$11.00	$27.75	$34.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $24.67 / $69.84	Professional		$20.42	$24.67	$69.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.96 / $25.45 / $48.11	Facility		$19.96	$25.45	$48.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.38 / $12.31 / $24.00	Professional		$11.38	$12.31	$24.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $24.00 / $27.14 / $48.11	Facility		$24.00	$27.14	$48.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $21.86 / $24.56 / $48.11	Professional		$21.86	$24.56	$48.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $24.02 / $25.16 / $44.91	Professional		$24.02	$25.16	$44.91
United Facility/Professional Professional Modifier Low / Median / High Price $9.52 / $12.31 / $15.63	Professional		$9.52	$12.31	$15.63
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $17.54 / $22.20 / $22.20	Professional		$17.54	$22.20	$22.20