Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.67 / $100.60 / $140.18	Professional		$46.67	$100.60	$140.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $47.35 / $72.08 / $152.08	Professional		$47.35	$72.08	$152.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $72.56 / $117.84 / $163.52	Facility		$72.56	$117.84	$163.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $66.22 / $92.70 / $203.30	Professional		$66.22	$92.70	$203.30
Midlands Facility/Professional Facility Modifier Low / Median / High Price $99.49 / $141.96 / $173.14	Facility		$99.49	$141.96	$173.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $87.00 / $134.04 / $173.99	Professional		$87.00	$134.04	$173.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $84.93 / $90.50 / $96.02	Professional		$84.93	$90.50	$96.02
United Facility/Professional Professional Modifier Low / Median / High Price $62.91 / $86.62 / $151.52	Professional		$62.91	$86.62	$151.52
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $48.19 / $61.00 / $61.00	Professional		$48.19	$61.00	$61.00