Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.28 / $26.68 / $91.92	Professional		$18.28	$26.68	$91.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.08 / $36.75 / $45.94	Professional		$34.08	$36.75	$45.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $21.41 / $33.51 / $57.67	Professional		$21.41	$33.51	$57.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.76 / $34.22 / $42.00	Facility		$21.76	$34.22	$42.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.58 / $20.34 / $82.31	Professional		$15.58	$20.34	$82.31
Midlands Facility/Professional Facility Modifier Low / Median / High Price $31.72 / $35.04 / $45.85	Facility		$31.72	$35.04	$45.85
Midlands Facility/Professional Professional Modifier Low / Median / High Price $28.23 / $36.42 / $52.35	Professional		$28.23	$36.42	$52.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $23.80 / $47.90 / $62.80	Professional		$23.80	$47.90	$62.80
United Facility/Professional Professional Modifier Low / Median / High Price $15.18 / $15.89 / $27.28	Professional		$15.18	$15.89	$27.28
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $28.67 / $28.67 / $28.67	Facility		$28.67	$28.67	$28.67
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $22.65 / $28.67 / $28.67	Professional		$22.65	$28.67	$28.67