Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.00 / $42.00 / $83.20	Professional		$42.00	$42.00	$83.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.62 / $61.88 / $77.34	Professional		$50.62	$61.88	$77.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $52.03 / $59.28 / $96.69	Professional		$52.03	$59.28	$96.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $42.00 / $58.76 / $84.94	Facility		$42.00	$58.76	$84.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $31.12 / $44.08 / $187.30	Professional		$31.12	$44.08	$187.30
Midlands Facility/Professional Facility Modifier Low / Median / High Price $58.76 / $58.76 / $112.18	Facility		$58.76	$58.76	$112.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $49.35 / $58.76 / $70.01	Professional		$49.35	$58.76	$70.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $54.40 / $54.40 / $54.40	Professional		$54.40	$54.40	$54.40
United Facility/Professional Professional Modifier Low / Median / High Price $31.12 / $31.12 / $53.42	Professional		$31.12	$31.12	$53.42
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $48.08 / $48.08 / $48.08	Facility		$48.08	$48.08	$48.08
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $37.97 / $48.08 / $48.08	Professional		$37.97	$48.08	$48.08