Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $19.00 / $24.46	Professional		$19.00	$19.00	$24.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.50 / $38.67 / $45.00	Professional		$25.50	$38.67	$45.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $41.09 / $75.41 / $77.23	Professional		$41.09	$75.41	$77.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.00 / $19.95 / $43.89	Facility		$19.00	$19.95	$43.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $37.86 / $77.61 / $185.58	Professional		$37.86	$77.61	$185.58
Midlands Facility/Professional Facility Modifier Low / Median / High Price $43.89 / $43.89 / $50.92	Facility		$43.89	$43.89	$50.92
Midlands Facility/Professional Professional Modifier Low / Median / High Price $33.75 / $43.89 / $51.68	Professional		$33.75	$43.89	$51.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $20.94 / $26.05 / $26.05	Professional		$20.94	$26.05	$26.05
United Facility/Professional Professional Modifier Low / Median / High Price $37.86 / $63.21 / $93.62	Professional		$37.86	$63.21	$93.62
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $30.60 / $30.60 / $30.60	Professional		$30.60	$30.60	$30.60