Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.94 / $28.56 / $41.64	Professional		$18.94	$28.56	$41.64
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $9.72 / $13.12 / $19.69	Professional	52	$9.72	$13.12	$19.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.41 / $32.97 / $63.48	Professional		$16.41	$32.97	$63.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.25 / $24.95 / $44.50	Professional		$15.25	$24.95	$44.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.09 / $46.08 / $67.73	Facility		$21.09	$46.08	$67.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.34 / $37.21 / $126.34	Professional		$25.34	$37.21	$126.34
Midlands Facility/Professional Facility Modifier Low / Median / High Price $41.88 / $50.20 / $63.48	Facility		$41.88	$50.20	$63.48
Midlands Facility/Professional Professional Modifier Low / Median / High Price $40.51 / $52.39 / $69.54	Professional		$40.51	$52.39	$69.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $16.89 / $30.17 / $48.75	Professional		$16.89	$30.17	$48.75
United Facility/Professional Professional Modifier Low / Median / High Price $25.27 / $29.56 / $54.12	Professional		$25.27	$29.56	$54.12
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $37.00 / $43.50 / $58.70	Professional		$37.00	$43.50	$58.70