Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.14 / $25.34 / $55.91	Professional		$20.14	$25.34	$55.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.76 / $49.55 / $61.94	Professional		$25.76	$49.55	$61.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $23.55 / $35.42 / $68.95	Professional		$23.55	$35.42	$68.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $25.62 / $44.55 / $65.03	Facility		$25.62	$44.55	$65.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.70 / $50.42 / $178.32	Professional		$28.70	$50.42	$178.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $40.00 / $54.69 / $61.61	Facility		$40.00	$54.69	$61.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $37.00 / $51.64 / $63.65	Professional		$37.00	$51.64	$63.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $23.32 / $41.96 / $46.83	Professional		$23.32	$41.96	$46.83
United Facility/Professional Facility Modifier Low / Median / High Price $25.62 / $25.62 / $36.33	Facility		$25.62	$25.62	$36.33
United Facility/Professional Professional Modifier Low / Median / High Price $25.98 / $39.94 / $66.06	Professional		$25.98	$39.94	$66.06
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $35.86 / $45.40 / $53.40	Professional		$35.86	$45.40	$53.40