Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.29 / $30.89 / $115.61	Professional		$20.29	$30.89	$115.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.97 / $58.22 / $176.95	Professional		$16.97	$58.22	$176.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.84 / $72.88 / $98.63	Professional		$15.84	$72.88	$98.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $22.34 / $72.88 / $181.04	Facility		$22.34	$72.88	$181.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $65.59 / $89.71 / $301.08	Professional		$65.59	$89.71	$301.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $47.61 / $95.00 / $181.04	Facility		$47.61	$95.00	$181.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $43.95 / $103.08 / $198.22	Professional		$43.95	$103.08	$198.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $18.25 / $40.13 / $143.36	Professional		$18.25	$40.13	$143.36
United Facility/Professional Professional Modifier Low / Median / High Price $68.09 / $84.13 / $149.84	Professional		$68.09	$84.13	$149.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $38.20 / $45.00 / $176.20	Professional		$38.20	$45.00	$176.20