Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.37 / $27.51 / $105.00	Professional		$20.37	$27.51	$105.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.73 / $49.04 / $73.26	Professional		$24.73	$49.04	$73.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $21.30 / $34.15 / $81.73	Professional		$21.30	$34.15	$81.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $26.19 / $45.55 / $57.02	Facility		$26.19	$45.55	$57.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $29.99 / $52.94 / $342.78	Professional		$29.99	$52.94	$342.78
Midlands Facility/Professional Facility Modifier Low / Median / High Price $32.26 / $48.19 / $60.36	Facility		$32.26	$48.19	$60.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $38.72 / $48.19 / $60.36	Professional		$38.72	$48.19	$60.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $19.46 / $24.67 / $68.40	Professional		$19.46	$24.67	$68.40
United Facility/Professional Professional Modifier Low / Median / High Price $28.15 / $42.23 / $71.64	Professional		$28.15	$42.23	$71.64
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $26.07 / $33.00 / $38.79	Professional		$26.07	$33.00	$38.79