Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $28.18 / $47.86	Professional		$15.14	$28.18	$47.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $28.18 / $57.54	Professional		$15.14	$28.18	$57.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $17.78 / $45.71	Professional		$13.49	$17.78	$45.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $44.67 / $72.44	Facility		$14.79	$44.67	$72.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $38.02 / $165.96	Professional		$18.62	$38.02	$165.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $47.86 / $58.88	Professional		$38.90	$47.86	$58.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Professional		$39.81	$39.81	$39.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $33.88 / $40.74	Professional		$28.18	$33.88	$40.74
United Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $21.88 / $40.74	Professional		$16.98	$21.88	$40.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $35.48 / $41.69	Professional		$33.88	$35.48	$41.69