Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.63 / $19.45 / $21.69	Professional		$16.63	$19.45	$21.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.13 / $42.12 / $74.04	Professional		$28.13	$42.12	$74.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.80 / $37.28 / $48.57	Professional		$12.80	$37.28	$48.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.74 / $39.22 / $79.38	Facility		$20.74	$39.22	$79.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $24.59 / $39.53 / $247.34	Professional		$24.59	$39.53	$247.34
Midlands Facility/Professional Facility Modifier Low / Median / High Price $29.86 / $38.72 / $58.40	Facility		$29.86	$38.72	$58.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $34.17 / $49.13 / $64.97	Professional		$34.17	$49.13	$64.97
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $22.90 / $40.88 / $45.05	Professional		$22.90	$40.88	$45.05
United Facility/Professional Professional Modifier Low / Median / High Price $24.59 / $25.33 / $64.73	Professional		$24.59	$25.33	$64.73
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $44.50 / $52.30 / $52.30	Professional		$44.50	$52.30	$52.30