Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.66 / $36.77 / $126.66	Professional		$29.66	$36.77	$126.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.26 / $51.00 / $63.75	Professional		$47.26	$51.00	$63.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $43.90 / $46.49 / $79.45	Professional		$43.90	$46.49	$79.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $36.77 / $50.01 / $98.53	Facility		$36.77	$50.01	$98.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $21.13 / $26.94 / $109.00	Professional		$21.13	$26.94	$109.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $48.14 / $50.01 / $63.18	Facility		$48.14	$50.01	$63.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $48.14 / $56.14 / $73.45	Professional		$48.14	$56.14	$73.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $41.70 / $54.30 / $79.93	Professional		$41.70	$54.30	$79.93
United Facility/Professional Professional Modifier Low / Median / High Price $20.93 / $21.90 / $87.60	Professional		$20.93	$21.90	$87.60
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $39.51 / $39.51 / $39.51	Facility		$39.51	$39.51	$39.51
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $31.21 / $39.51 / $39.51	Professional		$31.21	$39.51	$39.51