Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.70 / $30.73 / $31.07	Professional		$27.70	$30.73	$31.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.76 / $48.53 / $87.82	Professional		$29.76	$48.53	$87.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $28.23 / $31.18 / $56.33	Professional		$28.23	$31.18	$56.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.73 / $36.45 / $78.39	Facility		$30.73	$36.45	$78.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.43 / $59.75 / $216.05	Professional		$38.43	$59.75	$216.05
Midlands Facility/Professional Facility Modifier Low / Median / High Price $42.94 / $57.14 / $87.82	Facility		$42.94	$57.14	$87.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $43.53 / $57.90 / $92.89	Professional		$43.53	$57.90	$92.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $41.20 / $41.20 / $82.70	Professional		$41.20	$41.20	$82.70
United Facility/Professional Professional Modifier Low / Median / High Price $36.69 / $51.74 / $81.13	Professional		$36.69	$51.74	$81.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $37.36 / $47.30 / $47.30	Professional		$37.36	$47.30	$47.30