Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.77 / $36.61 / $52.27	Professional		$29.77	$36.61	$52.27
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $65.09 / $65.09 / $100.00	Professional	50	$65.09	$65.09	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.46 / $47.92 / $77.00	Professional		$25.46	$47.92	$77.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $23.58 / $32.43 / $50.62	Professional		$23.58	$32.43	$50.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $28.32 / $62.72 / $89.89	Facility		$28.32	$62.72	$89.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $34.58 / $52.33 / $200.98	Professional		$34.58	$52.33	$200.98
Midlands Facility/Professional Facility Modifier Low / Median / High Price $45.61 / $68.92 / $92.06	Facility		$45.61	$68.92	$92.06
Midlands Facility/Professional Professional Modifier Low / Median / High Price $53.77 / $68.92 / $89.89	Professional		$53.77	$68.92	$89.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.08 / $48.34 / $65.70	Professional		$27.08	$48.34	$65.70
United Facility/Professional Professional Modifier Low / Median / High Price $32.51 / $42.50 / $75.94	Professional		$32.51	$42.50	$75.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $58.50 / $66.59 / $78.30	Professional		$58.50	$66.59	$78.30