Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.00 / $33.02 / $42.94	Professional		$28.00	$33.02	$42.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.59 / $54.38 / $67.97	Professional		$19.59	$54.38	$67.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $34.70 / $40.82 / $49.54	Professional		$34.70	$40.82	$49.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.30 / $40.69 / $58.05	Facility		$30.30	$40.69	$58.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $18.82 / $20.36 / $40.72	Professional		$18.82	$20.36	$40.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $40.65 / $44.90 / $79.59	Facility		$40.65	$44.90	$79.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $36.78 / $43.08 / $79.59	Professional		$36.78	$43.08	$79.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $47.91 / $85.52	Professional		$20.00	$47.91	$85.52
United Facility/Professional Professional Modifier Low / Median / High Price $16.97 / $20.36 / $26.08	Professional		$16.97	$20.36	$26.08
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $29.02 / $36.74 / $36.74	Professional		$29.02	$36.74	$36.74