Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.02 / $30.24 / $76.00	Professional		$23.02	$30.24	$76.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.86 / $42.00 / $52.50	Professional		$38.86	$42.00	$52.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $36.10 / $38.22 / $65.34	Professional		$36.10	$38.22	$65.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.24 / $41.13 / $75.58	Facility		$30.24	$41.13	$75.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.37 / $22.14 / $89.60	Professional		$17.37	$22.14	$89.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $39.60 / $41.13 / $51.97	Facility		$39.60	$41.13	$51.97
Midlands Facility/Professional Professional Modifier Low / Median / High Price $39.60 / $43.47 / $60.40	Professional		$39.60	$43.47	$60.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $34.97 / $48.80 / $65.72	Professional		$34.97	$48.80	$65.72
United Facility/Professional Professional Modifier Low / Median / High Price $16.95 / $18.01 / $30.92	Professional		$16.95	$18.01	$30.92
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $32.49 / $32.49 / $32.49	Facility		$32.49	$32.49	$32.49
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $25.67 / $32.49 / $32.49	Professional		$25.67	$32.49	$32.49