Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.32 / $54.43 / $63.59	Professional		$34.32	$54.43	$63.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.83 / $88.01 / $147.66	Professional		$21.83	$88.01	$147.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $28.35 / $108.88	Professional		$21.38	$28.35	$108.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $36.79 / $112.00 / $157.44	Facility		$36.79	$112.00	$157.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $52.51 / $75.79 / $275.82	Professional		$52.51	$75.79	$275.82
Midlands Facility/Professional Facility Modifier Low / Median / High Price $72.65 / $116.38 / $147.29	Facility		$72.65	$116.38	$147.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $72.65 / $116.95 / $147.66	Professional		$72.65	$116.95	$147.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $13.71 / $24.47 / $34.27	Professional		$13.71	$24.47	$34.27
United Facility/Professional Professional Modifier Low / Median / High Price $48.50 / $66.15 / $126.18	Professional		$48.50	$66.15	$126.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $56.10 / $56.10 / $66.00	Professional		$56.10	$56.10	$66.00