Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.14 / $22.60 / $26.15	Professional		$16.14	$22.60	$26.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.81 / $37.97 / $56.95	Professional		$23.81	$37.97	$56.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.99 / $23.48 / $42.50	Professional		$15.99	$23.48	$42.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.16 / $38.29 / $66.25	Facility		$15.16	$38.29	$66.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $23.57 / $42.37 / $80.95	Professional		$23.57	$42.37	$80.95
Midlands Facility/Professional Facility Modifier Low / Median / High Price $28.70 / $38.82 / $61.05	Facility		$28.70	$38.82	$61.05
Midlands Facility/Professional Professional Modifier Low / Median / High Price $25.49 / $38.82 / $61.05	Professional		$25.49	$38.82	$61.05
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $518.39 / $518.39 / $518.39	Facility		$518.39	$518.39	$518.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $36.29 / $36.29 / $63.80	Professional		$36.29	$36.29	$63.80
United Facility/Professional Professional Modifier Low / Median / High Price $23.57 / $36.74 / $57.65	Professional		$23.57	$36.74	$57.65
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $29.63 / $37.50 / $44.10	Professional		$29.63	$37.50	$44.10