Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.14 / $17.89 / $69.33	Professional		$16.14	$17.89	$69.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.56 / $30.47 / $40.15	Professional		$21.56	$30.47	$40.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16.52 / $22.72 / $100.60	Professional		$16.52	$22.72	$100.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.23 / $27.91 / $83.38	Facility		$16.23	$27.91	$83.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $20.21 / $37.25 / $114.85	Professional		$20.21	$37.25	$114.85
Midlands Facility/Professional Facility Modifier Low / Median / High Price $21.92 / $31.67 / $50.31	Facility		$21.92	$31.67	$50.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $21.92 / $32.03 / $50.31	Professional		$21.92	$32.03	$50.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.19 / $15.76 / $34.86	Professional		$8.19	$15.76	$34.86
United Facility/Professional Professional Modifier Low / Median / High Price $19.32 / $30.67 / $52.71	Professional		$19.32	$30.67	$52.71
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $24.41 / $30.90 / $36.40	Professional		$24.41	$30.90	$36.40