Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.27 / $49.18 / $61.45	Professional		$40.27	$49.18	$61.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.19 / $74.25 / $92.81	Professional		$28.19	$74.25	$92.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $49.91 / $58.72 / $68.67	Professional		$49.91	$58.72	$68.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $43.59 / $58.62 / $83.50	Facility		$43.59	$58.62	$83.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $27.08 / $29.30 / $58.60	Professional		$27.08	$29.30	$58.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $58.49 / $64.59 / $114.50	Facility		$58.49	$64.59	$114.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $52.03 / $58.49 / $114.50	Professional		$52.03	$58.49	$114.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $65.36 / $116.67	Professional		$20.00	$65.36	$116.67
United Facility/Professional Professional Modifier Low / Median / High Price $23.40 / $29.30 / $37.51	Professional		$23.40	$29.30	$37.51
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $41.75 / $52.85 / $52.85	Professional		$41.75	$52.85	$52.85