Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.23 / $20.10 / $100.55	Professional		$16.23	$20.10	$100.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.77 / $39.65 / $58.62	Professional		$22.77	$39.65	$58.62
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $17.27 / $25.52 / $100.29	Professional		$17.27	$25.52	$100.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $22.04 / $44.49 / $200.00	Facility		$22.04	$44.49	$200.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $24.14 / $44.49 / $200.00	Professional		$24.14	$44.49	$200.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $35.08 / $44.49 / $58.62	Facility		$35.08	$44.49	$58.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $33.71 / $44.49 / $58.62	Professional		$33.71	$44.49	$58.62
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $17.05 / $31.47 / $36.90	Professional		$17.05	$31.47	$36.90
United Facility/Professional Professional Modifier Low / Median / High Price $20.75 / $39.61 / $56.58	Professional		$20.75	$39.61	$56.58
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $27.41 / $34.70 / $40.79	Professional		$27.41	$34.70	$40.79