Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.57 / $27.79 / $79.00	Professional		$16.57	$27.79	$79.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.71 / $38.63 / $48.28	Professional		$35.71	$38.63	$48.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $33.18 / $35.14 / $60.06	Professional		$33.18	$35.14	$60.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $27.79 / $38.34 / $83.68	Facility		$27.79	$38.34	$83.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.96 / $20.36 / $82.38	Professional		$15.96	$20.36	$82.38
Midlands Facility/Professional Facility Modifier Low / Median / High Price $36.39 / $37.81 / $49.00	Facility		$36.39	$37.81	$49.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $36.39 / $42.63 / $55.50	Professional		$36.39	$42.63	$55.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $32.15 / $36.00 / $60.40	Professional		$32.15	$36.00	$60.40
United Facility/Professional Professional Modifier Low / Median / High Price $15.58 / $16.55 / $28.41	Professional		$15.58	$16.55	$28.41
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $29.86 / $29.86 / $29.86	Facility		$29.86	$29.86	$29.86
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $23.59 / $29.86 / $29.86	Professional		$23.59	$29.86	$29.86