Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.14 / $41.23 / $48.07	Professional		$35.14	$41.23	$48.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.63 / $66.75 / $83.44	Professional		$23.63	$66.75	$83.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $46.03 / $49.23 / $62.54	Professional		$46.03	$49.23	$62.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $36.54 / $49.09 / $69.98	Facility		$36.54	$49.09	$69.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $22.70 / $24.56 / $49.12	Professional		$22.70	$24.56	$49.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $49.03 / $54.15 / $96.00	Facility		$49.03	$54.15	$96.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $43.62 / $49.03 / $96.00	Professional		$43.62	$49.03	$96.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $58.75 / $104.87	Professional		$20.00	$58.75	$104.87
United Facility/Professional Professional Modifier Low / Median / High Price $19.61 / $24.56 / $31.44	Professional		$19.61	$24.56	$31.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $44.31 / $44.31	Professional		$35.00	$44.31	$44.31