Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.96 / $19.21 / $21.35	Professional		$16.96	$19.21	$21.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.28 / $22.28 / $22.28	Professional		$22.28	$22.28	$22.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $68.38 / $71.02 / $77.73	Professional		$68.38	$71.02	$77.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.87 / $23.63 / $51.38	Facility		$14.87	$23.63	$51.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $58.49 / $193.44	Professional		$30.00	$58.49	$193.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $27.41 / $32.03 / $51.38	Facility		$27.41	$32.03	$51.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $27.41 / $33.39 / $51.38	Professional		$27.41	$33.39	$51.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $24.60 / $28.20 / $31.80	Professional		$24.60	$28.20	$31.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $38.47 / $48.70 / $48.70	Professional		$38.47	$48.70	$48.70