Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.94 / $25.97 / $51.37	Professional		$15.94	$25.97	$51.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.32 / $54.67 / $102.94	Professional		$33.32	$54.67	$102.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16.29 / $46.18 / $107.35	Professional		$16.29	$46.18	$107.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $23.64 / $44.63 / $88.86	Facility		$23.64	$44.63	$88.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $70.09 / $251.37	Professional		$37.15	$70.09	$251.37
Midlands Facility/Professional Facility Modifier Low / Median / High Price $37.47 / $55.33 / $88.93	Facility		$37.47	$55.33	$88.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $34.15 / $49.83 / $93.11	Professional		$34.15	$49.83	$93.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $18.32 / $36.72 / $77.15	Professional		$18.32	$36.72	$77.15
United Facility/Professional Professional Modifier Low / Median / High Price $36.52 / $61.75 / $89.31	Professional		$36.52	$61.75	$89.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $35.40 / $43.30 / $93.40	Professional		$35.40	$43.30	$93.40