Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.13 / $26.26 / $111.00	Professional		$20.13	$26.26	$111.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.44 / $53.04 / $66.30	Professional		$25.44	$53.04	$66.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $21.86 / $33.22 / $54.21	Professional		$21.86	$33.22	$54.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $23.56 / $43.12 / $115.03	Facility		$23.56	$43.12	$115.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.98 / $47.88 / $206.00	Professional		$25.98	$47.88	$206.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $52.58 / $62.67	Facility		$35.00	$52.58	$62.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $48.52 / $64.84	Professional		$35.00	$48.52	$64.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $49.30 / $70.70	Professional		$15.00	$49.30	$70.70
United Facility/Professional Professional Modifier Low / Median / High Price $25.52 / $37.01 / $62.92	Professional		$25.52	$37.01	$62.92
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $37.84 / $47.90 / $56.40	Professional		$37.84	$47.90	$56.40