Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.67 / $33.18 / $36.40	Professional		$25.67	$33.18	$36.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.57 / $46.50 / $62.58	Professional		$43.57	$46.50	$62.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $39.61 / $61.94 / $78.09	Professional		$39.61	$61.94	$78.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $33.18 / $45.28 / $76.91	Facility		$33.18	$45.28	$76.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $20.81 / $29.48 / $147.26	Professional		$20.81	$29.48	$147.26
Midlands Facility/Professional Facility Modifier Low / Median / High Price $43.57 / $45.28 / $82.89	Facility		$43.57	$45.28	$82.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $43.57 / $50.90 / $147.26	Professional		$43.57	$50.90	$147.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $65.20 / $65.20 / $79.30	Professional		$65.20	$65.20	$79.30
United Facility/Professional Professional Modifier Low / Median / High Price $20.81 / $20.81 / $37.70	Professional		$20.81	$20.81	$37.70
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $35.65 / $35.65 / $35.65	Facility		$35.65	$35.65	$35.65
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $28.16 / $35.65 / $35.65	Professional		$28.16	$35.65	$35.65