Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.83 / $28.29 / $56.25	Professional		$20.83	$28.29	$56.25
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $20.00 / $20.00 / $20.00	Professional	52	$20.00	$20.00	$20.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.49 / $68.20 / $104.01	Professional		$37.49	$68.20	$104.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $31.68 / $41.19 / $93.49	Professional		$31.68	$41.19	$93.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $24.05 / $35.17 / $152.90	Facility		$24.05	$35.17	$152.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $33.86 / $56.35 / $249.02	Professional		$33.86	$56.35	$249.02
Midlands Facility/Professional Facility Modifier Low / Median / High Price $51.79 / $61.91 / $71.31	Facility		$51.79	$61.91	$71.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $43.80 / $64.89 / $99.00	Professional		$43.80	$64.89	$99.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.84 / $39.56 / $66.94	Professional		$27.84	$39.56	$66.94
United Facility/Professional Professional Modifier Low / Median / High Price $32.04 / $35.86 / $97.48	Professional		$32.04	$35.86	$97.48
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $31.10 / $38.90 / $45.90	Professional		$31.10	$38.90	$45.90