Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $57.54 / $97.72	Professional		$15.85	$57.54	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $61.66 / $165.96	Professional		$17.78	$61.66	$165.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $61.66 / $138.04	Professional		$15.49	$61.66	$138.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $70.79 / $190.55	Facility		$19.50	$70.79	$190.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $97.72 / $316.23	Professional		$67.61	$97.72	$316.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $120.23 / $208.93	Professional		$47.86	$120.23	$208.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Professional		$147.91	$147.91	$147.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $42.66 / $165.96	Professional		$18.20	$42.66	$165.96
United Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $50.12 / $107.15	Professional		$20.89	$50.12	$107.15
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $44.67 / $186.21	Professional		$38.02	$44.67	$186.21