Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $48.98 / $251.19	Professional		$34.67	$48.98	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $102.33 / $128.82	Professional		$40.74	$102.33	$128.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $69.18 / $269.15	Professional		$38.02	$69.18	$269.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $66.07 / $323.59	Professional		$35.48	$66.07	$323.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $87.10 / $104.71	Professional		$77.62	$87.10	$104.71
Midlands Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $104.71	Professional		$66.07	$66.07	$104.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $75.86 / $104.71	Professional		$72.44	$75.86	$104.71
United Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $51.29 / $97.72	Professional		$34.67	$51.29	$97.72
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $87.10 / $102.33	Professional		$67.61	$87.10	$102.33