Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $20.89 / $30.20	Professional		$15.14	$20.89	$30.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $37.15 / $63.10	Professional		$21.38	$37.15	$63.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $38.02 / $213.80	Professional		$19.50	$38.02	$213.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $25.12 / $102.33	Facility		$14.45	$25.12	$102.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $56.23 / $199.53	Professional		$28.84	$56.23	$199.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $54.95 / $77.62	Professional		$37.15	$54.95	$77.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $37.15 / $42.66	Professional		$33.88	$37.15	$42.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $33.88 / $57.54	Professional		$20.42	$33.88	$57.54
United Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $33.11 / $69.18	Professional		$20.42	$33.11	$69.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $36.31 / $46.77	Professional		$27.54	$36.31	$46.77