Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.41 / $25.23 / $45.00	Professional		$23.41	$25.23	$45.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.58 / $37.93 / $62.49	Professional		$26.58	$37.93	$62.49
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $19.68 / $26.46 / $73.64	Professional		$19.68	$26.46	$73.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.46 / $24.91 / $40.90	Facility		$21.46	$24.91	$40.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $32.78 / $61.66 / $158.99	Professional		$32.78	$61.66	$158.99
Midlands Facility/Professional Facility Modifier Low / Median / High Price $47.83 / $51.15 / $66.83	Facility		$47.83	$51.15	$66.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $41.93 / $51.15 / $64.65	Professional		$41.93	$51.15	$64.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $23.66 / $28.53 / $38.03	Professional		$23.66	$28.53	$38.03
United Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $52.31 / $108.56	Professional		$28.18	$52.31	$108.56
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $25.40 / $27.89 / $35.29	Professional		$25.40	$27.89	$35.29