Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.28 / $20.95 / $29.92	Professional		$15.28	$20.95	$29.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.33 / $33.79 / $62.45	Professional		$21.33	$33.79	$62.45
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $20.93 / $32.59 / $75.05	Professional		$20.93	$32.59	$75.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.55 / $23.02 / $102.96	Facility		$14.55	$23.02	$102.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.64 / $56.47 / $198.13	Professional		$28.64	$56.47	$198.13
Midlands Facility/Professional Facility Modifier Low / Median / High Price $34.71 / $46.97 / $54.63	Facility		$34.71	$46.97	$54.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $37.18 / $49.27 / $77.18	Professional		$37.18	$49.27	$77.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $20.93 / $32.11 / $54.26	Professional		$20.93	$32.11	$54.26
United Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $34.67 / $73.47	Professional		$19.00	$34.67	$73.47
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $26.94 / $36.20 / $47.10	Professional		$26.94	$36.20	$47.10