Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.90 / $52.10 / $122.01	Professional		$31.90	$52.10	$122.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.58 / $70.36 / $202.41	Professional		$27.58	$70.36	$202.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $25.54 / $67.87 / $108.54	Professional		$25.54	$67.87	$108.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $35.51 / $88.32 / $194.90	Facility		$35.51	$88.32	$194.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $76.77 / $100.86 / $322.64	Professional		$76.77	$100.86	$322.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $78.84 / $112.00 / $189.49	Facility		$78.84	$112.00	$189.49
Midlands Facility/Professional Professional Modifier Low / Median / High Price $69.30 / $117.50 / $210.38	Professional		$69.30	$117.50	$210.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $55.12 / $60.73 / $153.46	Professional		$55.12	$60.73	$153.46
United Facility/Professional Professional Modifier Low / Median / High Price $76.77 / $88.89 / $162.36	Professional		$76.77	$88.89	$162.36
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $61.60 / $72.50 / $186.30	Professional		$61.60	$72.50	$186.30