Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.34 / $43.25 / $48.24	Professional		$37.34	$43.25	$48.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.90 / $52.53 / $91.12	Professional		$36.90	$52.53	$91.12
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $35.86 / $37.27 / $72.63	Professional		$35.86	$37.27	$72.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $29.44 / $50.14 / $95.63	Facility		$29.44	$50.14	$95.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $37.72 / $48.58 / $106.35	Professional		$37.72	$48.58	$106.35
Midlands Facility/Professional Facility Modifier Low / Median / High Price $49.00 / $60.17 / $95.63	Facility		$49.00	$60.17	$95.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $50.19 / $64.77 / $95.63	Professional		$50.19	$64.77	$95.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $37.29 / $66.56 / $74.92	Professional		$37.29	$66.56	$74.92
United Facility/Professional Professional Modifier Low / Median / High Price $37.00 / $44.53 / $85.47	Professional		$37.00	$44.53	$85.47
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $79.59 / $79.59 / $93.60	Professional		$79.59	$79.59	$93.60