Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $20.00 / $20.00	Professional		$20.00	$20.00	$20.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.67 / $71.22 / $84.84	Professional		$62.67	$71.22	$84.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $93.10 / $105.60 / $275.00	Professional		$93.10	$105.60	$275.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $71.06 / $81.88	Facility		$20.00	$71.06	$81.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $62.05 / $71.06 / $71.22	Professional		$62.05	$71.06	$71.22
Midlands Facility/Professional Facility Modifier Low / Median / High Price $71.06 / $71.06 / $71.06	Facility		$71.06	$71.06	$71.06
Midlands Facility/Professional Professional Modifier Low / Median / High Price $62.05 / $71.06 / $71.22	Professional		$62.05	$71.06	$71.22
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $318.13 / $318.13 / $318.13	Facility		$318.13	$318.13	$318.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $86.40 / $86.40 / $86.40	Professional		$86.40	$86.40	$86.40
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $59.30 / $59.30 / $59.30	Facility		$59.30	$59.30	$59.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $46.85 / $59.30 / $59.30	Professional		$46.85	$59.30	$59.30