Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.43 / $31.30 / $55.14	Professional		$22.43	$31.30	$55.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.10 / $54.10 / $54.10	Facility		$54.10	$54.10	$54.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.00 / $49.87 / $90.54	Professional		$28.00	$49.87	$90.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $26.10 / $39.85 / $84.17	Professional		$26.10	$39.85	$84.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $28.80 / $44.35 / $71.38	Facility		$28.80	$44.35	$71.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $33.27 / $54.05 / $237.00	Professional		$33.27	$54.05	$237.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $53.27 / $61.13 / $84.50	Facility		$53.27	$61.13	$84.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $45.88 / $60.84 / $91.98	Professional		$45.88	$60.84	$91.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $28.41 / $40.00 / $68.79	Professional		$28.41	$40.00	$68.79
United Facility/Professional Professional Modifier Low / Median / High Price $30.10 / $45.53 / $92.68	Professional		$30.10	$45.53	$92.68
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $33.00 / $42.10 / $54.60	Professional		$33.00	$42.10	$54.60