Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.97 / $31.98 / $41.06	Professional		$22.97	$31.98	$41.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.22 / $47.81 / $80.94	Professional		$35.22	$47.81	$80.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $25.15 / $29.59 / $77.37	Professional		$25.15	$29.59	$77.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $28.82 / $41.47 / $68.23	Facility		$28.82	$41.47	$68.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.17 / $60.38 / $399.91	Professional		$38.17	$60.38	$399.91
Midlands Facility/Professional Facility Modifier Low / Median / High Price $46.10 / $50.46 / $81.29	Facility		$46.10	$50.46	$81.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $53.61 / $81.29	Professional		$45.00	$53.61	$81.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $44.30 / $44.30 / $89.90	Professional		$44.30	$44.30	$89.90
United Facility/Professional Professional Modifier Low / Median / High Price $34.70 / $49.42 / $76.69	Professional		$34.70	$49.42	$76.69
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $39.70 / $43.50 / $51.10	Professional		$39.70	$43.50	$51.10