Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.40 / $63.17 / $98.52	Professional		$51.40	$63.17	$98.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.19 / $80.19 / $80.19	Facility		$80.19	$80.19	$80.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.00 / $99.64 / $193.67	Professional		$28.00	$99.64	$193.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $56.25 / $77.43 / $113.13	Professional		$56.25	$77.43	$113.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $61.24 / $72.31 / $113.20	Facility		$61.24	$72.31	$113.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $55.23 / $112.18 / $443.16	Professional		$55.23	$112.18	$443.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $82.52 / $90.75 / $169.03	Facility		$82.52	$90.75	$169.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $80.19 / $102.26 / $181.22	Professional		$80.19	$102.26	$181.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $48.90 / $75.00 / $134.02	Professional		$48.90	$75.00	$134.02
United Facility/Professional Professional Modifier Low / Median / High Price $48.25 / $92.35 / $185.55	Professional		$48.25	$92.35	$185.55
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $72.09 / $83.66 / $105.90	Professional		$72.09	$83.66	$105.90