Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.85 / $35.53 / $45.95	Professional		$23.85	$35.53	$45.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.29 / $54.96 / $101.35	Professional		$36.29	$54.96	$101.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $232.75 / $248.00 / $319.25	Professional		$232.75	$248.00	$319.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $35.18 / $55.16 / $103.56	Facility		$35.18	$55.16	$103.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.36 / $28.58 / $344.54	Professional		$25.36	$28.58	$344.54
Midlands Facility/Professional Facility Modifier Low / Median / High Price $53.50 / $64.05 / $101.35	Facility		$53.50	$64.05	$101.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $53.76 / $75.09 / $101.35	Professional		$53.76	$75.09	$101.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Professional		$60.00	$60.00	$60.00
United Facility/Professional Professional Modifier Low / Median / High Price $22.47 / $25.93 / $43.21	Professional		$22.47	$25.93	$43.21
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $59.25 / $75.00 / $75.00	Professional		$59.25	$75.00	$75.00