Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.28 / $44.93 / $50.24	Professional		$37.28	$44.93	$50.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.22 / $73.88 / $92.34	Professional		$26.22	$73.88	$92.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $47.75 / $54.62 / $65.83	Professional		$47.75	$54.62	$65.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $40.54 / $54.59 / $77.67	Facility		$40.54	$54.59	$77.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.19 / $27.25 / $54.50	Professional		$25.19	$27.25	$54.50
Midlands Facility/Professional Facility Modifier Low / Median / High Price $54.40 / $60.08 / $106.51	Facility		$54.40	$60.08	$106.51
Midlands Facility/Professional Professional Modifier Low / Median / High Price $48.40 / $54.40 / $106.51	Professional		$48.40	$54.40	$106.51
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $65.08 / $116.17	Professional		$20.00	$65.08	$116.17
United Facility/Professional Professional Modifier Low / Median / High Price $22.71 / $27.25 / $39.97	Professional		$22.71	$27.25	$39.97
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $38.84 / $49.16 / $49.16	Professional		$38.84	$49.16	$49.16