Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.97 / $40.08 / $56.15	Professional		$33.97	$40.08	$56.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.78 / $62.25 / $77.81	Professional		$23.78	$62.25	$77.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $42.11 / $49.54 / $66.59	Professional		$42.11	$49.54	$66.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $36.78 / $49.33 / $70.45	Facility		$36.78	$49.33	$70.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $22.85 / $24.71 / $49.43	Professional		$22.85	$24.71	$49.43
Midlands Facility/Professional Facility Modifier Low / Median / High Price $49.35 / $54.49 / $96.60	Facility		$49.35	$54.49	$96.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $44.63 / $54.00 / $96.60	Professional		$44.63	$54.00	$96.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $54.69 / $97.62	Professional		$20.00	$54.69	$97.62
United Facility/Professional Professional Modifier Low / Median / High Price $19.35 / $24.71 / $32.95	Professional		$19.35	$24.71	$32.95
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $35.22 / $44.59 / $44.59	Professional		$35.22	$44.59	$44.59