Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.18 / $22.25 / $22.25	Professional		$16.18	$22.25	$22.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.25 / $32.10 / $60.87	Professional		$29.25	$32.10	$60.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $25.19 / $45.59 / $52.68	Professional		$25.19	$45.59	$52.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.22 / $31.93 / $38.51	Facility		$20.22	$31.93	$38.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.15 / $16.48 / $74.36	Professional		$13.15	$16.48	$74.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $30.79 / $31.93 / $40.33	Facility		$30.79	$31.93	$40.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $27.16 / $36.07 / $60.87	Professional		$27.16	$36.07	$60.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $43.10 / $43.10 / $52.40	Professional		$43.10	$43.10	$52.40
United Facility/Professional Professional Modifier Low / Median / High Price $12.35 / $13.15 / $22.58	Professional		$12.35	$13.15	$22.58
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $25.34 / $25.34 / $25.34	Facility		$25.34	$25.34	$25.34
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $20.02 / $25.34 / $25.34	Professional		$20.02	$25.34	$25.34