Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.83 / $17.80 / $23.85	Professional		$15.83	$17.80	$23.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.79 / $28.72 / $43.62	Professional		$15.79	$28.72	$43.62
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.84 / $24.48 / $79.18	Professional		$15.84	$24.48	$79.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.55 / $31.19 / $42.42	Facility		$18.55	$31.19	$42.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $16.93 / $30.78 / $135.25	Professional		$16.93	$30.78	$135.25
Midlands Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $35.47 / $42.42	Facility		$23.44	$35.47	$42.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $22.16 / $32.63 / $42.42	Professional		$22.16	$32.63	$42.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $16.61 / $29.13 / $33.43	Professional		$16.61	$29.13	$33.43
United Facility/Professional Professional Modifier Low / Median / High Price $16.23 / $24.62 / $40.72	Professional		$16.23	$24.62	$40.72
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $24.81 / $31.40 / $38.50	Professional		$24.81	$31.40	$38.50