Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $19.00 / $24.34	Professional		$19.00	$19.00	$24.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.52 / $39.79 / $48.69	Professional		$26.52	$39.79	$48.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $47.06 / $79.29 / $92.50	Professional		$47.06	$79.29	$92.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.00 / $19.95 / $41.41	Facility		$19.00	$19.95	$41.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.04 / $74.59 / $178.47	Professional		$38.04	$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 $41.41 / $41.41 / $49.85	Professional		$41.41	$41.41	$49.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $24.26 / $28.74 / $28.74	Professional		$24.26	$28.74	$28.74
United Facility/Professional Professional Modifier Low / Median / High Price $31.43 / $56.24 / $89.98	Professional		$31.43	$56.24	$89.98
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $39.40 / $39.40 / $39.40	Professional		$39.40	$39.40	$39.40