Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.14 / $32.47 / $44.90	Professional		$19.14	$32.47	$44.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.62 / $48.53 / $90.38	Professional		$27.62	$48.53	$90.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $18.39 / $38.79 / $94.52	Professional		$18.39	$38.79	$94.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $23.87 / $44.57 / $77.59	Facility		$23.87	$44.57	$77.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.68 / $64.09 / $136.24	Professional		$38.68	$64.09	$136.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $28.62 / $56.28 / $90.38	Facility		$28.62	$56.28	$90.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $31.41 / $55.49 / $90.38	Professional		$31.41	$55.49	$90.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $46.20 / $69.00 / $101.00	Professional		$46.20	$69.00	$101.00
United Facility/Professional Professional Modifier Low / Median / High Price $38.68 / $49.73 / $85.54	Professional		$38.68	$49.73	$85.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $27.60 / $33.50 / $63.90	Professional		$27.60	$33.50	$63.90