Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.94 / $30.22 / $257.06	Professional		$25.94	$30.22	$257.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.83 / $68.56 / $123.04	Professional		$41.83	$68.56	$123.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $36.06 / $57.86 / $221.03	Professional		$36.06	$57.86	$221.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $39.95 / $86.33 / $262.67	Facility		$39.95	$86.33	$262.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $37.29 / $69.98 / $747.34	Professional		$37.29	$69.98	$747.34
Midlands Facility/Professional Facility Modifier Low / Median / High Price $55.27 / $67.86 / $113.00	Facility		$55.27	$67.86	$113.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $55.27 / $74.52 / $123.04	Professional		$55.27	$74.52	$123.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $33.83 / $60.39 / $65.17	Professional		$33.83	$60.39	$65.17
United Facility/Professional Professional Modifier Low / Median / High Price $37.04 / $38.40 / $90.44	Professional		$37.04	$38.40	$90.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $62.80 / $73.90 / $73.90	Professional		$62.80	$73.90	$73.90