Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $24.51 / $34.40	Professional		$20.89	$24.51	$34.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $49.96 / $75.45	Professional		$19.00	$49.96	$75.45
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $20.39 / $28.30 / $78.38	Professional		$20.39	$28.30	$78.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.48 / $32.59 / $53.41	Facility		$21.48	$32.59	$53.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $49.96 / $158.72	Professional		$19.95	$49.96	$158.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $49.85 / $56.99 / $66.62	Facility		$49.85	$56.99	$66.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $44.89 / $56.58 / $65.29	Professional		$44.89	$56.58	$65.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $19.14 / $24.79 / $48.71	Professional		$19.14	$24.79	$48.71
United Facility/Professional Professional Modifier Low / Median / High Price $19.52 / $34.10 / $66.34	Professional		$19.52	$34.10	$66.34
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $29.30 / $33.40 / $39.29	Professional		$29.30	$33.40	$39.29