Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.88 / $30.61 / $44.21	Professional		$22.88	$30.61	$44.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.30 / $60.93 / $95.52	Professional		$41.30	$60.93	$95.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $20.50 / $32.72 / $108.44	Professional		$20.50	$32.72	$108.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $23.55 / $38.78 / $59.41	Facility		$23.55	$38.78	$59.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $41.50 / $78.84 / $200.17	Professional		$41.50	$78.84	$200.17
Midlands Facility/Professional Facility Modifier Low / Median / High Price $51.15 / $60.94 / $79.55	Facility		$51.15	$60.94	$79.55
Midlands Facility/Professional Professional Modifier Low / Median / High Price $51.15 / $63.33 / $85.61	Professional		$51.15	$63.33	$85.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $41.90 / $41.90 / $41.90	Professional		$41.90	$41.90	$41.90
United Facility/Professional Professional Modifier Low / Median / High Price $34.40 / $58.16 / $85.05	Professional		$34.40	$58.16	$85.05
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $35.60 / $41.80 / $57.20	Professional		$35.60	$41.80	$57.20