Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.55 / $23.07 / $30.53	Professional		$18.55	$23.07	$30.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.29 / $32.29 / $32.29	Professional		$32.29	$32.29	$32.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $97.45 / $101.21 / $107.41	Professional		$97.45	$101.21	$107.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $23.07 / $29.13 / $56.94	Facility		$23.07	$29.13	$56.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $35.42 / $78.30 / $159.61	Professional		$35.42	$78.30	$159.61
Midlands Facility/Professional Facility Modifier Low / Median / High Price $32.89 / $42.65 / $56.94	Facility		$32.89	$42.65	$56.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $35.42 / $46.04 / $60.33	Professional		$35.42	$46.04	$60.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $26.00 / $31.20 / $31.20	Professional		$26.00	$31.20	$31.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $51.51 / $65.20 / $65.20	Professional		$51.51	$65.20	$65.20