Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.38 / $36.08 / $51.99	Professional		$26.38	$36.08	$51.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $41.00 / $87.50	Professional		$25.00	$41.00	$87.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $27.51 / $34.11 / $184.93	Professional		$27.51	$34.11	$184.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.83 / $45.38 / $74.11	Facility		$30.83	$45.38	$74.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $35.61 / $72.72 / $220.76	Professional		$35.61	$72.72	$220.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $66.88 / $74.11 / $93.40	Facility		$66.88	$74.11	$93.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $63.38 / $74.11 / $97.46	Professional		$63.38	$74.11	$97.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $31.85 / $40.63 / $62.64	Professional		$31.85	$40.63	$62.64
United Facility/Professional Professional Modifier Low / Median / High Price $33.53 / $55.76 / $92.23	Professional		$33.53	$55.76	$92.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $56.60 / $56.60 / $66.59	Professional		$56.60	$56.60	$66.59