Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.09 / $28.71 / $85.62	Professional		$24.09	$28.71	$85.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.70 / $40.28 / $64.97	Professional		$24.70	$40.28	$64.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $22.46 / $28.16 / $88.78	Professional		$22.46	$28.16	$88.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $26.86 / $36.29 / $61.41	Facility		$26.86	$36.29	$61.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.84 / $48.79 / $161.03	Professional		$30.84	$48.79	$161.03
Midlands Facility/Professional Facility Modifier Low / Median / High Price $34.74 / $46.05 / $65.40	Facility		$34.74	$46.05	$65.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $36.39 / $47.79 / $65.40	Professional		$36.39	$47.79	$65.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $23.82 / $41.73 / $52.32	Professional		$23.82	$41.73	$52.32
United Facility/Professional Professional Modifier Low / Median / High Price $29.44 / $39.89 / $65.11	Professional		$29.44	$39.89	$65.11
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $30.73 / $38.90 / $45.70	Professional		$30.73	$38.90	$45.70