Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.97 / $18.00 / $20.97	Professional		$17.97	$18.00	$20.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.71 / $13.60 / $38.75	Professional		$10.71	$13.60	$38.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $52.25 / $61.47 / $70.37	Professional		$52.25	$61.47	$70.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.00 / $19.19 / $38.18	Facility		$18.00	$19.19	$38.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $22.29 / $45.68 / $154.65	Professional		$22.29	$45.68	$154.65
Midlands Facility/Professional Facility Modifier Low / Median / High Price $37.68 / $37.68 / $43.85	Facility		$37.68	$37.68	$43.85
Midlands Facility/Professional Professional Modifier Low / Median / High Price $17.54 / $37.68 / $44.47	Professional		$17.54	$37.68	$44.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $12.40 / $12.40 / $17.69	Professional		$12.40	$12.40	$17.69
United Facility/Professional Professional Modifier Low / Median / High Price $22.29 / $41.88 / $89.51	Professional		$22.29	$41.88	$89.51
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $9.50 / $9.50 / $9.50	Professional		$9.50	$9.50	$9.50