Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.24 / $38.04 / $53.29	Professional		$32.24	$38.04	$53.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.57 / $64.88 / $81.09	Professional		$22.57	$64.88	$81.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $39.32 / $47.02 / $55.80	Professional		$39.32	$47.02	$55.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $34.90 / $46.85 / $66.86	Facility		$34.90	$46.85	$66.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $21.68 / $23.46 / $46.92	Professional		$21.68	$23.46	$46.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $46.82 / $51.72 / $91.69	Facility		$46.82	$51.72	$91.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $42.36 / $53.44 / $91.69	Professional		$42.36	$53.44	$91.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $56.92 / $101.60	Professional		$20.00	$56.92	$101.60
United Facility/Professional Professional Modifier Low / Median / High Price $19.55 / $23.46 / $31.28	Professional		$19.55	$23.46	$31.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $33.43 / $42.32 / $42.32	Professional		$33.43	$42.32	$42.32