Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $20.89 / $44.67	Professional		$14.13	$20.89	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $32.36 / $44.67	Professional		$25.12	$32.36	$44.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $32.36 / $67.61	Professional		$19.50	$32.36	$67.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $26.30 / $100.00	Facility		$16.60	$26.30	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $42.66 / $173.78	Professional		$23.44	$42.66	$173.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $51.29 / $69.18	Professional		$33.88	$51.29	$69.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $33.88 / $38.90	Professional		$28.18	$33.88	$38.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $27.54 / $48.98	Professional		$18.62	$27.54	$48.98
United Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $25.12 / $63.10	Professional		$19.50	$25.12	$63.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $25.12 / $31.62	Professional		$20.42	$25.12	$31.62