Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.54 / $34.36 / $118.40	Professional		$23.54	$34.36	$118.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.92 / $47.63 / $59.53	Professional		$43.92	$47.63	$59.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $40.11 / $45.24 / $74.28	Professional		$40.11	$45.24	$74.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $28.04 / $43.77 / $54.11	Facility		$28.04	$43.77	$54.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $20.07 / $26.21 / $106.07	Professional		$20.07	$26.21	$106.07
Midlands Facility/Professional Facility Modifier Low / Median / High Price $40.88 / $45.14 / $59.07	Facility		$40.88	$45.14	$59.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $36.36 / $46.91 / $67.45	Professional		$36.36	$46.91	$67.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $30.70 / $61.70 / $80.80	Professional		$30.70	$61.70	$80.80
United Facility/Professional Professional Modifier Low / Median / High Price $19.27 / $20.47 / $35.14	Professional		$19.27	$20.47	$35.14
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $36.94 / $36.94 / $36.94	Facility		$36.94	$36.94	$36.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $29.18 / $36.94 / $36.94	Professional		$29.18	$36.94	$36.94