Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.72 / $43.77 / $48.40	Professional		$29.72	$43.77	$48.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.80 / $61.50 / $76.88	Professional		$20.80	$61.50	$76.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $45.19 / $54.03 / $67.56	Professional		$45.19	$54.03	$67.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $42.90 / $55.70 / $107.91	Facility		$42.90	$55.70	$107.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $21.62 / $28.83 / $49.49	Professional		$21.62	$28.83	$49.49
Midlands Facility/Professional Facility Modifier Low / Median / High Price $49.00 / $63.57 / $112.69	Facility		$49.00	$63.57	$112.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $49.00 / $57.55 / $112.69	Professional		$49.00	$57.55	$112.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $58.94 / $105.21	Professional		$35.00	$58.94	$105.21
United Facility/Professional Professional Modifier Low / Median / High Price $18.02 / $28.83 / $36.92	Professional		$18.02	$28.83	$36.92
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $41.09 / $52.01 / $52.01	Professional		$41.09	$52.01	$52.01