Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.25 / $16.69 / $17.91	Professional		$10.25	$16.69	$17.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.57 / $23.25 / $29.06	Professional		$9.57	$23.25	$29.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.81 / $19.80 / $22.08	Professional		$14.81	$19.80	$22.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.12 / $21.00 / $38.88	Facility		$16.12	$21.00	$38.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.19 / $9.94 / $19.89	Professional		$9.19	$9.94	$19.89
Midlands Facility/Professional Facility Modifier Low / Median / High Price $19.86 / $21.93 / $38.88	Facility		$19.86	$21.93	$38.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $17.95 / $19.86 / $38.88	Professional		$17.95	$19.86	$38.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $19.94 / $20.51 / $36.61	Professional		$19.94	$20.51	$36.61
United Facility/Professional Professional Modifier Low / Median / High Price $8.28 / $9.94 / $12.74	Professional		$8.28	$9.94	$12.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $14.18 / $17.95 / $17.95	Professional		$14.18	$17.95	$17.95