Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.49 / $50.22 / $60.56	Professional		$34.49	$50.22	$60.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.65 / $69.38 / $86.72	Professional		$25.65	$69.38	$86.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $35.99 / $58.04 / $68.45	Professional		$35.99	$58.04	$68.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $48.09 / $62.07 / $121.04	Facility		$48.09	$62.07	$121.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.66 / $30.97 / $58.00	Professional		$26.66	$30.97	$58.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $58.00 / $68.28 / $121.04	Facility		$58.00	$68.28	$121.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $55.93 / $61.82 / $121.04	Professional		$55.93	$61.82	$121.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $63.31 / $113.01	Professional		$35.00	$63.31	$113.01
United Facility/Professional Professional Modifier Low / Median / High Price $22.22 / $30.97 / $45.42	Professional		$22.22	$30.97	$45.42
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $44.13 / $55.86 / $55.86	Professional		$44.13	$55.86	$55.86