Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.55 / $23.07 / $33.60	Professional		$18.55	$23.07	$33.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.83 / $33.83 / $33.83	Professional		$33.83	$33.83	$33.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $102.57 / $106.53 / $113.06	Professional		$102.57	$106.53	$113.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $23.07 / $30.39 / $56.94	Facility		$23.07	$30.39	$56.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $35.42 / $80.70 / $283.32	Professional		$35.42	$80.70	$283.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $33.35 / $43.24 / $56.94	Facility		$33.35	$43.24	$56.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $35.42 / $47.37 / $62.52	Professional		$35.42	$47.37	$62.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $31.20 / $31.20 / $49.30	Professional		$31.20	$31.20	$49.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $53.09 / $67.20 / $67.20	Professional		$53.09	$67.20	$67.20