Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $57.54 / $181.97	Professional		$30.20	$57.54	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $87.10 / $123.03	Professional		$26.92	$87.10	$123.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $74.13 / $138.04	Professional		$47.86	$74.13	$138.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $69.18 / $144.54	Facility		$39.81	$69.18	$144.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $95.50 / $363.08	Professional		$51.29	$95.50	$363.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $91.20 / $147.91	Professional		$40.74	$91.20	$147.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $93.33 / $100.00	Professional		$61.66	$93.33	$100.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $53.70 / $107.15	Professional		$28.84	$53.70	$107.15
United Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $51.29 / $114.82	Professional		$35.48	$51.29	$114.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $72.44 / $114.82	Professional		$61.66	$72.44	$114.82