Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.38 / $18.13 / $26.31	Professional		$14.38	$18.13	$26.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.10 / $62.00 / $104.01	Professional		$29.10	$62.00	$104.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $19.30 / $27.05 / $62.31	Professional		$19.30	$27.05	$62.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.97 / $21.90 / $101.42	Facility		$15.97	$21.90	$101.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $22.55 / $36.82 / $165.54	Professional		$22.55	$36.82	$165.54
Midlands Facility/Professional Facility Modifier Low / Median / High Price $32.01 / $36.82 / $57.27	Facility		$32.01	$36.82	$57.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $25.93 / $37.46 / $63.64	Professional		$25.93	$37.46	$63.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $20.64 / $23.59 / $44.48	Professional		$20.64	$23.59	$44.48
United Facility/Professional Professional Modifier Low / Median / High Price $22.55 / $25.72 / $99.97	Professional		$22.55	$25.72	$99.97
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $7.00 / $7.00	Professional		$7.00	$7.00	$7.00