Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.28 / $52.33 / $72.92	Professional		$24.28	$52.33	$72.92
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $17.07 / $26.46 / $88.60	Professional		$17.07	$26.46	$88.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $37.33 / $60.11 / $95.24	Facility		$37.33	$60.11	$95.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $34.13 / $47.74 / $107.11	Professional		$34.13	$47.74	$107.11
Midlands Facility/Professional Facility Modifier Low / Median / High Price $51.07 / $61.08 / $89.24	Facility		$51.07	$61.08	$89.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $67.17 / $89.49	Professional		$40.65	$67.17	$89.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $39.02 / $41.41 / $43.91	Professional		$39.02	$41.41	$43.91
United Facility/Professional Professional Modifier Low / Median / High Price $32.42 / $46.19 / $78.16	Professional		$32.42	$46.19	$78.16
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $13.75 / $17.39 / $17.39	Professional		$13.75	$17.39	$17.39