Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.74 / $12.59 / $16.04	Professional		$7.74	$12.59	$16.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.22 / $17.25 / $21.56	Professional		$7.22	$17.25	$21.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.78 / $15.04 / $20.05	Professional		$12.78	$15.04	$20.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.72 / $16.00 / $29.33	Facility		$11.72	$16.00	$29.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.94 / $7.51 / $15.00	Professional		$6.94	$7.51	$15.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $14.99 / $16.54 / $29.33	Facility		$14.99	$16.54	$29.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $13.33 / $14.99 / $29.33	Professional		$13.33	$14.99	$29.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.04 / $15.34 / $27.38	Professional		$15.04	$15.34	$27.38
United Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $7.51 / $11.01	Professional		$6.00	$7.51	$11.01
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $10.70 / $13.54 / $13.54	Professional		$10.70	$13.54	$13.54