Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.17 / $49.56 / $65.95	Professional		$45.17	$49.56	$65.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.72 / $89.27 / $137.30	Professional		$56.72	$89.27	$137.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $39.01 / $53.60 / $93.71	Professional		$39.01	$53.60	$93.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $44.04 / $69.78 / $113.13	Facility		$44.04	$69.78	$113.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $59.77 / $111.38 / $302.20	Professional		$59.77	$111.38	$302.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $67.00 / $93.44 / $127.64	Facility		$67.00	$93.44	$127.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $68.45 / $93.44 / $123.68	Professional		$68.45	$93.44	$123.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $59.40 / $59.40 / $127.50	Professional		$59.40	$59.40	$127.50
United Facility/Professional Professional Modifier Low / Median / High Price $53.35 / $96.91 / $131.91	Professional		$53.35	$96.91	$131.91
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $50.80 / $52.06 / $65.90	Professional		$50.80	$52.06	$65.90