Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.55 / $23.07 / $28.09	Professional		$18.55	$23.07	$28.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.89 / $36.89 / $36.89	Professional		$36.89	$36.89	$36.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $111.12 / $115.41 / $122.48	Professional		$111.12	$115.41	$122.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $23.07 / $30.39 / $59.67	Facility		$23.07	$30.39	$59.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $35.42 / $144.12 / $167.71	Professional		$35.42	$144.12	$167.71
Midlands Facility/Professional Facility Modifier Low / Median / High Price $34.22 / $44.93 / $56.94	Facility		$34.22	$44.93	$56.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $35.42 / $50.83 / $68.31	Professional		$35.42	$50.83	$68.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $31.20 / $31.20 / $31.20	Professional		$31.20	$31.20	$31.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $94.80 / $120.00 / $120.00	Professional		$94.80	$120.00	$120.00