Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.73 / $15.56 / $21.79	Professional		$13.73	$15.56	$21.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.23 / $22.88 / $28.59	Professional		$9.23	$22.88	$28.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16.34 / $19.22 / $29.41	Professional		$16.34	$19.22	$29.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.10 / $20.00 / $37.47	Facility		$16.10	$20.00	$37.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.86 / $9.59 / $19.19	Professional		$8.86	$9.59	$19.19
Midlands Facility/Professional Facility Modifier Low / Median / High Price $19.14 / $21.14 / $37.47	Facility		$19.14	$21.14	$37.47
Midlands Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $20.00 / $37.47	Professional		$17.32	$20.00	$37.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $19.22 / $20.22 / $36.09	Professional		$19.22	$20.22	$36.09
United Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $9.59 / $14.07	Professional		$8.00	$9.59	$14.07
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $13.67 / $17.30 / $17.30	Professional		$13.67	$17.30	$17.30