Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.68 / $8.97 / $11.03	Professional		$8.68	$8.97	$11.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.07 / $15.47 / $23.00	Professional		$9.07	$15.47	$23.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $40.61 / $47.97 / $53.10	Professional		$40.61	$47.97	$53.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.96 / $19.01 / $69.23	Facility		$8.96	$19.01	$69.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.98 / $6.48 / $19.01	Professional		$5.98	$6.48	$19.01
Midlands Facility/Professional Facility Modifier Low / Median / High Price $13.44 / $19.01 / $23.00	Facility		$13.44	$19.01	$23.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $13.44 / $19.01 / $23.00	Professional		$13.44	$19.01	$23.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $58.91 / $62.89 / $86.00	Professional		$58.91	$62.89	$86.00
United Facility/Professional Professional Modifier Low / Median / High Price $5.96 / $6.48 / $9.50	Professional		$5.96	$6.48	$9.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $39.58 / $50.10 / $50.10	Professional		$39.58	$50.10	$50.10