Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.16 / $45.14 / $52.69	Professional		$31.16	$45.14	$52.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.24 / $62.25 / $77.81	Professional		$25.24	$62.25	$77.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $45.75 / $54.16 / $70.80	Professional		$45.75	$54.16	$70.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $44.99 / $55.80 / $108.81	Facility		$44.99	$55.80	$108.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.75 / $27.84 / $55.00	Professional		$25.75	$27.84	$55.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $61.38 / $108.81	Facility		$55.00	$61.38	$108.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $50.28 / $55.59 / $108.81	Professional		$50.28	$55.59	$108.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $53.82 / $56.92 / $101.60	Professional		$53.82	$56.92	$101.60
United Facility/Professional Professional Modifier Low / Median / High Price $21.86 / $27.84 / $40.83	Professional		$21.86	$27.84	$40.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $39.67 / $50.22 / $50.22	Professional		$39.67	$50.22	$50.22