Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $28.21 / $97.16	Professional		$21.48	$28.21	$97.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.24 / $39.00 / $48.75	Professional		$36.24	$39.00	$48.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $33.68 / $35.64 / $65.00	Professional		$33.68	$35.64	$65.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $28.21 / $38.36 / $64.11	Facility		$28.21	$38.36	$64.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $16.20 / $20.66 / $83.57	Professional		$16.20	$20.66	$83.57
Midlands Facility/Professional Facility Modifier Low / Median / High Price $36.95 / $37.04 / $48.48	Facility		$36.95	$37.04	$48.48
Midlands Facility/Professional Professional Modifier Low / Median / High Price $35.27 / $38.51 / $56.34	Professional		$35.27	$38.51	$56.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $32.63 / $45.50 / $61.31	Professional		$32.63	$45.50	$61.31
United Facility/Professional Professional Modifier Low / Median / High Price $16.10 / $16.80 / $28.84	Professional		$16.10	$16.80	$28.84
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $30.31 / $30.31 / $30.31	Facility		$30.31	$30.31	$30.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $23.94 / $30.31 / $30.31	Professional		$23.94	$30.31	$30.31