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 / $32.32 / $53.18	Professional		$29.38	$32.32	$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 Professional Modifier Low / Median / High Price $36.60 / $44.20 / $57.90	Professional		$36.60	$44.20	$57.90
United Facility/Professional Professional Modifier Low / Median / High Price $14.00 / $14.65 / $25.15	Professional		$14.00	$14.65	$25.15
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