Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.45 / $20.37 / $23.10	Professional		$15.45	$20.37	$23.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.24 / $27.00 / $33.75	Professional		$11.24	$27.00	$33.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $19.91 / $27.43 / $55.02	Professional		$19.91	$27.43	$55.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.48 / $27.58 / $53.78	Facility		$20.48	$27.58	$53.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.69 / $13.76 / $24.00	Professional		$11.69	$13.76	$24.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $24.00 / $30.34 / $53.78	Facility		$24.00	$30.34	$53.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $27.47 / $53.78	Professional		$24.00	$27.47	$53.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $23.42 / $28.13 / $50.21	Professional		$23.42	$28.13	$50.21
United Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $13.76 / $17.63	Professional		$9.55	$13.76	$17.63
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $19.61 / $24.82 / $24.82	Professional		$19.61	$24.82	$24.82