Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.32 / $39.08 / $39.68	Professional		$33.32	$39.08	$39.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.70 / $69.48 / $90.47	Professional		$49.70	$69.48	$90.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $51.32 / $66.65 / $75.72	Professional		$51.32	$66.65	$75.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $39.08 / $58.55 / $117.47	Facility		$39.08	$58.55	$117.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $29.58 / $38.61 / $156.27	Professional		$29.58	$38.61	$156.27
Midlands Facility/Professional Facility Modifier Low / Median / High Price $46.44 / $51.34 / $97.88	Facility		$46.44	$51.34	$97.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $42.67 / $58.55 / $117.47	Professional		$42.67	$58.55	$117.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $26.00 / $26.00 / $28.40	Professional		$26.00	$26.00	$28.40
United Facility/Professional Professional Modifier Low / Median / High Price $29.53 / $30.16 / $125.60	Professional		$29.53	$30.16	$125.60
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $54.41 / $54.41 / $54.41	Facility		$54.41	$54.41	$54.41
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $42.98 / $54.41 / $54.41	Professional		$42.98	$54.41	$54.41