Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.56 / $46.50 / $143.49	Professional		$30.56	$46.50	$143.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.87 / $74.89 / $225.09	Professional		$25.87	$74.89	$225.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $23.77 / $90.36 / $135.88	Professional		$23.77	$90.36	$135.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $37.60 / $87.79 / $231.45	Facility		$37.60	$87.79	$231.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $84.67 / $115.56 / $371.85	Professional		$84.67	$115.56	$371.85
Midlands Facility/Professional Facility Modifier Low / Median / High Price $71.81 / $118.00 / $225.09	Facility		$71.81	$118.00	$225.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $66.30 / $128.58 / $246.16	Professional		$66.30	$128.58	$246.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $26.99 / $59.95 / $177.14	Professional		$26.99	$59.95	$177.14
United Facility/Professional Professional Modifier Low / Median / High Price $64.75 / $101.70 / $187.13	Professional		$64.75	$101.70	$187.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $57.30 / $67.40 / $217.50	Professional		$57.30	$67.40	$217.50