Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.85 / $31.89 / $109.86	Professional		$21.85	$31.89	$109.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $44.25 / $55.31	Professional		$40.74	$44.25	$55.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $26.47 / $38.07 / $68.91	Professional		$26.47	$38.07	$68.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $26.03 / $40.99 / $50.19	Facility		$26.03	$40.99	$50.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $18.63 / $24.32 / $98.42	Professional		$18.63	$24.32	$98.42
Midlands Facility/Professional Facility Modifier Low / Median / High Price $37.93 / $41.88 / $54.80	Facility		$37.93	$41.88	$54.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $33.74 / $43.53 / $62.58	Professional		$33.74	$43.53	$62.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $28.40 / $57.20 / $75.00	Professional		$28.40	$57.20	$75.00
United Facility/Professional Professional Modifier Low / Median / High Price $17.88 / $19.00 / $36.24	Professional		$17.88	$19.00	$36.24
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $34.26 / $34.26 / $34.26	Facility		$34.26	$34.26	$34.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $27.07 / $34.26 / $34.26	Professional		$27.07	$34.26	$34.26