Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.83 / $27.73 / $31.29	Professional		$21.83	$27.73	$31.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.45 / $43.13 / $53.91	Professional		$16.45	$43.13	$53.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $29.13 / $34.27 / $54.17	Professional		$29.13	$34.27	$54.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $27.73 / $36.60 / $66.83	Facility		$27.73	$36.60	$66.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.80 / $17.09 / $34.19	Professional		$15.80	$17.09	$34.19
Midlands Facility/Professional Facility Modifier Low / Median / High Price $34.14 / $37.70 / $66.83	Facility		$34.14	$37.70	$66.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $30.37 / $34.14 / $66.83	Professional		$30.37	$34.14	$66.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $34.27 / $38.11 / $68.03	Professional		$34.27	$38.11	$68.03
United Facility/Professional Professional Modifier Low / Median / High Price $14.25 / $17.09 / $21.27	Professional		$14.25	$17.09	$21.27
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $24.36 / $30.84 / $30.84	Professional		$24.36	$30.84	$30.84