Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.17 / $39.79 / $107.00	Professional		$15.17	$39.79	$107.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.83 / $55.13 / $68.91	Professional		$50.83	$55.13	$68.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $47.51 / $50.29 / $85.99	Professional		$47.51	$50.29	$85.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $36.49 / $54.13 / $80.30	Facility		$36.49	$54.13	$80.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $22.86 / $29.14 / $117.92	Professional		$22.86	$29.14	$117.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $47.31 / $52.26 / $68.37	Facility		$47.31	$52.26	$68.37
Midlands Facility/Professional Professional Modifier Low / Median / High Price $45.66 / $54.31 / $79.48	Professional		$45.66	$54.31	$79.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $46.04 / $64.30 / $105.60	Professional		$46.04	$64.30	$105.60
United Facility/Professional Professional Modifier Low / Median / High Price $22.64 / $23.70 / $40.69	Professional		$22.64	$23.70	$40.69
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $42.76 / $42.76 / $42.76	Facility		$42.76	$42.76	$42.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $33.78 / $42.76 / $42.76	Professional		$33.78	$42.76	$42.76