Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.46 / $57.15 / $156.75	Professional		$30.46	$57.15	$156.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.10 / $119.42 / $334.99	Professional		$39.10	$119.42	$334.99
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $29.10 / $109.35 / $171.88	Professional		$29.10	$109.35	$171.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $60.45 / $121.91 / $330.81	Facility		$60.45	$121.91	$330.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $78.15 / $142.12 / $700.97	Professional		$78.15	$142.12	$700.97
Midlands Facility/Professional Facility Modifier Low / Median / High Price $68.45 / $111.00 / $256.35	Facility		$68.45	$111.00	$256.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $67.68 / $111.00 / $275.82	Professional		$67.68	$111.00	$275.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $28.86 / $113.03 / $225.61	Professional		$28.86	$113.03	$225.61
United Facility/Professional Professional Modifier Low / Median / High Price $78.68 / $107.16 / $212.58	Professional		$78.68	$107.16	$212.58
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $57.90 / $70.90 / $274.80	Professional		$57.90	$70.90	$274.80