Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.47 / $44.25 / $55.31	Professional		$36.47	$44.25	$55.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $38.04 / $39.51 / $68.84	Professional		$38.04	$39.51	$68.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $41.84 / $60.48	Facility		$30.00	$41.84	$60.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $22.16 / $31.39 / $133.38	Professional		$22.16	$31.39	$133.38
Midlands Facility/Professional Facility Modifier Low / Median / High Price $41.84 / $41.84 / $79.50	Facility		$41.84	$41.84	$79.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $32.56 / $41.84 / $49.86	Professional		$32.56	$41.84	$49.86
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $117.21 / $117.21 / $117.21	Facility		$117.21	$117.21	$117.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $52.80 / $52.80 / $52.80	Professional		$52.80	$52.80	$52.80
United Facility/Professional Professional Modifier Low / Median / High Price $22.16 / $22.16 / $38.04	Professional		$22.16	$22.16	$38.04
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $34.24 / $34.24 / $34.24	Facility		$34.24	$34.24	$34.24
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $27.05 / $34.24 / $34.24	Professional		$27.05	$34.24	$34.24