Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.01 / $23.98 / $34.52	Professional		$17.01	$23.98	$34.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.04 / $41.25 / $60.01	Professional		$33.04	$41.25	$60.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $23.77 / $27.96 / $47.60	Professional		$23.77	$27.96	$47.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $23.53 / $31.27 / $51.31	Facility		$23.53	$31.27	$51.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $32.77 / $58.24 / $167.08	Professional		$32.77	$58.24	$167.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $37.84 / $43.67 / $61.67	Facility		$37.84	$43.67	$61.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $33.04 / $43.67 / $70.36	Professional		$33.04	$43.67	$70.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $41.90 / $41.90 / $66.09	Professional		$41.90	$41.90	$66.09
United Facility/Professional Professional Modifier Low / Median / High Price $28.99 / $49.95 / $68.56	Professional		$28.99	$49.95	$68.56
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $36.20 / $39.40 / $46.40	Professional		$36.20	$39.40	$46.40