Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.93 / $79.44 / $121.04	Professional		$43.93	$79.44	$121.04
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $41.75 / $93.18 / $115.20	Professional	25	$41.75	$93.18	$115.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.47 / $75.00 / $193.28	Professional		$39.47	$75.00	$193.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $34.13 / $76.31 / $115.28	Professional		$34.13	$76.31	$115.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $48.01 / $115.20 / $204.80	Facility		$48.01	$115.20	$204.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $76.17 / $106.00 / $312.51	Professional		$76.17	$106.00	$312.51
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $229.50 / $229.50 / $229.50	Professional	25	$229.50	$229.50	$229.50
Midlands Facility/Professional Facility Modifier Low / Median / High Price $96.21 / $124.00 / $193.28	Facility		$96.21	$124.00	$193.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $94.90 / $127.79 / $208.24	Professional		$94.90	$127.79	$208.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $38.85 / $80.45 / $150.38	Professional		$38.85	$80.45	$150.38
United Facility/Professional Professional Modifier Low / Median / High Price $76.17 / $92.21 / $164.59	Professional		$76.17	$92.21	$164.59
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $82.60 / $97.20 / $182.00	Professional		$82.60	$97.20	$182.00