Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.61 / $43.51 / $47.63	Professional		$35.61	$43.51	$47.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.93 / $66.00 / $82.50	Professional		$24.93	$66.00	$82.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $44.68 / $51.94 / $59.04	Professional		$44.68	$51.94	$59.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $38.56 / $51.70 / $73.87	Facility		$38.56	$51.70	$73.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $23.96 / $25.91 / $51.83	Professional		$23.96	$25.91	$51.83
Midlands Facility/Professional Facility Modifier Low / Median / High Price $51.74 / $57.13 / $101.28	Facility		$51.74	$57.13	$101.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $46.80 / $51.74 / $101.28	Professional		$46.80	$51.74	$101.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $57.95 / $103.44	Professional		$20.00	$57.95	$103.44
United Facility/Professional Professional Modifier Low / Median / High Price $20.29 / $25.91 / $33.18	Professional		$20.29	$25.91	$33.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $36.93 / $46.75 / $46.75	Professional		$36.93	$46.75	$46.75