Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $41.69 / $47.86	Professional		$21.88	$41.69	$47.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $66.07 / $83.18	Professional		$23.44	$66.07	$83.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $48.98 / $63.10	Professional		$41.69	$48.98	$63.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $48.98 / $69.18	Facility		$36.31	$48.98	$69.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $24.55 / $41.69	Professional		$19.50	$24.55	$41.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $95.50 / $95.50	Professional		$53.70	$95.50	$95.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $70.79 / $107.15	Professional		$50.12	$70.79	$107.15
United Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Facility		$50.12	$50.12	$50.12
United Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $24.55 / $31.62	Professional		$19.05	$24.55	$31.62
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Professional		$44.67	$44.67	$44.67