Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.63 / $24.48 / $93.06	Professional		$16.63	$24.48	$93.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.20 / $43.67 / $75.70	Professional		$29.20	$43.67	$75.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $22.32 / $38.34 / $77.05	Professional		$22.32	$38.34	$77.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $23.94 / $43.74 / $113.59	Facility		$23.94	$43.74	$113.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $24.59 / $42.16 / $143.78	Professional		$24.59	$42.16	$143.78
Midlands Facility/Professional Facility Modifier Low / Median / High Price $29.29 / $42.00 / $49.28	Facility		$29.29	$42.00	$49.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $29.29 / $45.45 / $63.83	Professional		$29.29	$45.45	$63.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $22.61 / $26.51 / $44.64	Professional		$22.61	$26.51	$44.64
United Facility/Professional Professional Modifier Low / Median / High Price $24.59 / $26.35 / $65.84	Professional		$24.59	$26.35	$65.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $44.50 / $52.30 / $52.30	Professional		$44.50	$52.30	$52.30