Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.91 / $59.89 / $87.00	Professional		$28.91	$59.89	$87.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.28 / $42.38 / $52.97	Professional		$39.28	$42.38	$52.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $36.47 / $38.63 / $66.01	Professional		$36.47	$38.63	$66.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.55 / $47.05 / $115.39	Facility		$30.55	$47.05	$115.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $22.38 / $90.58	Professional		$17.55	$22.38	$90.58
Midlands Facility/Professional Facility Modifier Low / Median / High Price $40.01 / $41.56 / $67.00	Facility		$40.01	$41.56	$67.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $40.01 / $46.87 / $67.00	Professional		$40.01	$46.87	$67.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $35.34 / $49.40 / $80.00	Professional		$35.34	$49.40	$80.00
United Facility/Professional Professional Modifier Low / Median / High Price $17.13 / $18.20 / $72.80	Professional		$17.13	$18.20	$72.80
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $32.82 / $32.82 / $32.82	Facility		$32.82	$32.82	$32.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $25.93 / $32.82 / $32.82	Professional		$25.93	$32.82	$32.82