Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.01 / $23.97 / $40.34	Professional		$17.01	$23.97	$40.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.00 / $41.25 / $58.14	Professional		$33.00	$41.25	$58.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $23.77 / $27.96 / $57.76	Professional		$23.77	$27.96	$57.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $23.53 / $30.96 / $50.65	Facility		$23.53	$30.96	$50.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $32.63 / $58.24 / $167.08	Professional		$32.63	$58.24	$167.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $37.84 / $43.67 / $58.14	Facility		$37.84	$43.67	$58.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $32.63 / $43.67 / $70.36	Professional		$32.63	$43.67	$70.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $28.28 / $49.43 / $61.93	Professional		$28.28	$49.43	$61.93
United Facility/Professional Professional Modifier Low / Median / High Price $28.99 / $51.44 / $68.56	Professional		$28.99	$51.44	$68.56
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $36.20 / $39.40 / $46.40	Professional		$36.20	$39.40	$46.40