Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.06 / $19.18 / $27.22	Professional		$14.06	$19.18	$27.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.54 / $60.82 / $101.84	Professional		$33.54	$60.82	$101.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $20.64 / $28.34 / $67.36	Professional		$20.64	$28.34	$67.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.62 / $25.36 / $99.92	Facility		$16.62	$25.36	$99.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $23.43 / $39.20 / $173.83	Professional		$23.43	$39.20	$173.83
Midlands Facility/Professional Facility Modifier Low / Median / High Price $33.35 / $42.69 / $51.04	Facility		$33.35	$42.69	$51.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $30.23 / $44.91 / $68.44	Professional		$30.23	$44.91	$68.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $18.80 / $27.39 / $46.27	Professional		$18.80	$27.39	$46.27
United Facility/Professional Professional Modifier Low / Median / High Price $23.43 / $26.00 / $66.70	Professional		$23.43	$26.00	$66.70
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $20.39 / $25.40 / $31.60	Professional		$20.39	$25.40	$31.60