Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.73 / $35.71 / $103.00	Professional		$20.73	$35.71	$103.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.89 / $49.50 / $61.88	Professional		$45.89	$49.50	$61.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $42.64 / $45.13 / $77.18	Professional		$42.64	$45.13	$77.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $35.71 / $48.58 / $104.60	Facility		$35.71	$48.58	$104.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $20.51 / $26.15 / $105.82	Professional		$20.51	$26.15	$105.82
Midlands Facility/Professional Facility Modifier Low / Median / High Price $46.76 / $48.58 / $61.37	Facility		$46.76	$48.58	$61.37
Midlands Facility/Professional Professional Modifier Low / Median / High Price $46.76 / $54.78 / $71.34	Professional		$46.76	$54.78	$71.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $41.32 / $57.70 / $77.63	Professional		$41.32	$57.70	$77.63
United Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $21.27 / $36.51	Professional		$20.00	$21.27	$36.51
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $38.38 / $38.38 / $38.38	Facility		$38.38	$38.38	$38.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $30.32 / $38.38 / $38.38	Professional		$30.32	$38.38	$38.38