Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.47 / $19.63 / $28.50	Professional		$16.47	$19.63	$28.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.38 / $34.78 / $52.79	Professional		$14.38	$34.78	$52.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.04 / $20.77 / $67.45	Professional		$15.04	$20.77	$67.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.76 / $32.78 / $50.72	Facility		$16.76	$32.78	$50.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $20.91 / $33.44 / $92.40	Professional		$20.91	$33.44	$92.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $35.65 / $40.58 / $49.48	Facility		$35.65	$40.58	$49.48
Midlands Facility/Professional Professional Modifier Low / Median / High Price $33.65 / $43.49 / $53.22	Professional		$33.65	$43.49	$53.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $16.14 / $28.81 / $36.60	Professional		$16.14	$28.81	$36.60
United Facility/Professional Professional Modifier Low / Median / High Price $19.80 / $27.95 / $47.86	Professional		$19.80	$27.95	$47.86
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $23.50 / $29.50 / $34.70	Professional		$23.50	$29.50	$34.70