Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $16.98 / $24.55	Professional		$12.88	$16.98	$24.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $31.62 / $58.88	Professional		$12.59	$31.62	$58.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $19.95 / $114.82	Professional		$12.30	$19.95	$114.82
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $15.49 / $83.18	Professional	26	$10.00	$15.49	$83.18
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $30.90 / $30.90 / $30.90	Facility	26	$30.90	$30.90	$30.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $30.90 / $91.20	Professional		$15.49	$30.90	$91.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $44.67 / $138.04	Professional		$34.67	$44.67	$138.04
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $32.36 / $45.71	Professional	26	$22.91	$32.36	$45.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $16.22 / $33.88	Professional		$4.07	$16.22	$33.88
United Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $21.38 / $51.29	Professional		$15.14	$21.38	$51.29
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $28.84 / $31.62	Professional		$22.91	$28.84	$31.62