Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.22 / $15.00 / $18.23	Professional		$14.22	$15.00	$18.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.32 / $38.67 / $41.41	Professional		$16.32	$38.67	$41.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $29.99 / $60.33 / $66.78	Professional		$29.99	$60.33	$66.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.00 / $15.75 / $41.41	Facility		$15.00	$15.75	$41.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $36.39 / $74.59 / $178.47	Professional		$36.39	$74.59	$178.47
Midlands Facility/Professional Facility Modifier Low / Median / High Price $41.41 / $41.41 / $47.97	Facility		$41.41	$41.41	$47.97
Midlands Facility/Professional Professional Modifier Low / Median / High Price $20.78 / $41.41 / $48.69	Professional		$20.78	$41.41	$48.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $18.72 / $24.82 / $24.82	Professional		$18.72	$24.82	$24.82
United Facility/Professional Professional Modifier Low / Median / High Price $34.95 / $60.77 / $89.98	Professional		$34.95	$60.77	$89.98
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $18.39 / $18.39 / $18.39	Professional		$18.39	$18.39	$18.39