Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.85 / $24.60 / $84.74	Professional		$16.85	$24.60	$84.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.44 / $34.13 / $42.66	Professional		$31.44	$34.13	$42.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $29.38 / $32.38 / $53.18	Professional		$29.38	$32.38	$53.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.07 / $31.60 / $38.72	Facility		$20.07	$31.60	$38.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $14.37 / $18.76 / $75.92	Professional		$14.37	$18.76	$75.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $29.25 / $32.32 / $42.28	Facility		$29.25	$32.32	$42.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $26.03 / $33.57 / $48.28	Professional		$26.03	$33.57	$48.28
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $209.52 / $209.52 / $209.52	Facility		$209.52	$209.52	$209.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $40.10 / $57.90	Professional		$10.00	$40.10	$57.90
United Facility/Professional Professional Modifier Low / Median / High Price $14.04 / $14.65 / $60.38	Professional		$14.04	$14.65	$60.38
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $26.44 / $26.44 / $26.44	Facility		$26.44	$26.44	$26.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $26.44 / $26.44	Professional		$20.89	$26.44	$26.44