Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.95 / $37.03 / $171.60	Professional		$15.95	$37.03	$171.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.65 / $45.00 / $92.81	Professional		$26.65	$45.00	$92.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.39 / $31.90 / $87.14	Professional		$15.39	$31.90	$87.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.94 / $39.27 / $80.22	Facility		$17.94	$39.27	$80.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $41.28 / $92.55 / $251.37	Professional		$41.28	$92.55	$251.37
Midlands Facility/Professional Facility Modifier Low / Median / High Price $37.72 / $72.06 / $92.81	Facility		$37.72	$72.06	$92.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $37.72 / $76.42 / $102.09	Professional		$37.72	$76.42	$102.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $19.01 / $39.31 / $66.37	Professional		$19.01	$39.31	$66.37
United Facility/Professional Professional Modifier Low / Median / High Price $39.79 / $65.81 / $111.87	Professional		$39.79	$65.81	$111.87
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $28.80 / $35.29 / $71.00	Professional		$28.80	$35.29	$71.00