Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.27 / $63.99 / $141.35	Professional		$40.27	$63.99	$141.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.27 / $87.21 / $240.81	Professional		$37.27	$87.21	$240.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $32.44 / $88.68 / $135.61	Professional		$32.44	$88.68	$135.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $45.94 / $118.06 / $238.84	Facility		$45.94	$118.06	$238.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $89.97 / $116.98 / $360.35	Professional		$89.97	$116.98	$360.35
Midlands Facility/Professional Facility Modifier Low / Median / High Price $99.13 / $140.00 / $225.91	Facility		$99.13	$140.00	$225.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $91.86 / $143.07 / $240.81	Professional		$91.86	$143.07	$240.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $36.40 / $81.77 / $173.11	Professional		$36.40	$81.77	$173.11
United Facility/Professional Professional Modifier Low / Median / High Price $84.97 / $112.30 / $227.19	Professional		$84.97	$112.30	$227.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $78.30 / $92.10 / $211.70	Professional		$78.30	$92.10	$211.70