Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.10 / $39.27 / $56.87	Professional		$30.10	$39.27	$56.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.57 / $46.58 / $64.66	Professional		$28.57	$46.58	$64.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $25.06 / $31.86 / $64.25	Professional		$25.06	$31.86	$64.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $28.68 / $49.31 / $75.40	Facility		$28.68	$49.31	$75.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $33.35 / $61.59 / $173.27	Professional		$33.35	$61.59	$173.27
Midlands Facility/Professional Facility Modifier Low / Median / High Price $39.78 / $46.58 / $75.59	Facility		$39.78	$46.58	$75.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $39.78 / $47.15 / $75.40	Professional		$39.78	$47.15	$75.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $25.34 / $41.70 / $58.08	Professional		$25.34	$41.70	$58.08
United Facility/Professional Professional Modifier Low / Median / High Price $31.54 / $50.05 / $85.08	Professional		$31.54	$50.05	$85.08
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $35.54 / $45.00 / $52.90	Professional		$35.54	$45.00	$52.90